Oral Answers to Questions

Edward Miliband Excerpts

Wednesday 26th November 2014 Commons Chamber

[Edward Miliband (Doncaster North) (Lab)]

Everyone was appalled by the abuse of people with learning disabilities at Winterbourne View. It is a basic obligation of a civilised society to treat everyone, especially the most vulnerable, with respect and dignity. A couple of years ago, the Government set the aim of moving people into the community and out of these assessment and treatment units. Today’s report shows that that has not happened. Can we today, across the House, reaffirm that aim?

[The Prime Minister]

We should absolutely reaffirm that aim. Anyone who, like me, watched the television programme on Winterbourne View would have been absolutely shocked at the way in which people with learning disabilities are treated. Everybody knows that that has been a problem for years and decades—not for a few months—and that we have to do more to get people out of hospitals and into loving and caring homes in the community. The reason why we commissioned this report from Sir Stephen Bubb, and it is an excellent report, is that the commitment to get all the people out of the hospitals had not been met. Sir Stephen has come up with good ideas for how we bring together the health service and local authorities to ensure that people with learning disabilities are treated with respect.

[Edward Miliband]

I am grateful for that answer, but there are still more people with learning disabilities moving into institutional care than there are moving out of it, which is taking them away from their families and friends. Will the Prime Minister promise today that there will be a clear timetable so that the promises made to people with learning disabilities and their families are kept?

[The Prime Minister]

I do not want to set out a timetable that it is not possible to meet. We have just received the report from Stephen Bubb. He says clearly:

“it’s…unfair to blame the Government, I think it’s been a system failing, and I am very keen not to put blame anywhere, I am very keen that we move on.”

Indeed, we should move on and plan properly how we commission care and places in the community, using local authorities as well as the NHS, so that we respond to the report in good time, because otherwise we will make the same mistake again.

[Edward Miliband]

I hope that the Prime Minister will take the report away and consider setting out a timetable, because a promise was made, and this is about the future and doing right by people with learning disabilities and their families.

I want to turn to the wider issue of the NHS. We saw a report this week of a patient waiting 35 hours in A and E. Across England, A and Es including Scunthorpe, Middlesbrough and King’s Lynn are telling patients not to turn up. We have seen report after report of patients waiting hours for ambulances. Does this represent more than some isolated incidents, and actually show an NHS in England at breaking point?

[The Prime Minister]

The figures show that, yes, the NHS is under pressure. Last week, 429,000 people presented at accident and emergency units across England, which is 3,000 more patients every day than under the previous Government. What has happened is a big increase in accident and emergency admissions. As the right hon. Gentleman knows, the target is to see 95% of people within four hours. The running total for this year is 94.7%, so the figure is 0.3% below what we are meant to achieve. The key thing is what we are going to do to respond to these problems in A and E. We are putting £700 million more into the NHS this year, and we are able to do that only because we have a strong and growing economy. That is the key: you can have a strong NHS only if you have a strong economy.

[Edward Miliband]

The truth is that the crisis in A and E is a symptom of the crisis in elderly care and in relation to getting to see a GP. One of the biggest problems is that one in four people is unable to see a GP within a week, and we even heard yesterday from the Health Secretary that that is a problem. What does it say about the NHS when the Health Secretary says that he goes to A and E because he cannot get a GP appointment?

[The Prime Minister]

Yet again, the right hon. Gentleman comes to the House to raise a problem that he created. Following the Labour party’s GP contract, 90% of doctors opted out of out-of-hours care. That is why we are putting in place arrangements for seven-day opening for GPs, and 7 million people already have access to that. I repeat: if you cannot run the economy, you cannot run the NHS—and he could not run either.

[Edward Miliband]

The truth is that we introduced evening and weekend opening; the Prime Minister cut it. We opened walk-in centres; he shut them. He promised to improve GP access, but he has not delivered it, and this is happening on his watch. Today, the King’s Fund says that without an emergency injection of resources, the NHS will face financial meltdown. This is exactly the same pattern that we saw under the previous Tory Government: winter crisis followed by emergency bail-outs. Is it not a damning indictment of the Prime Minister’s record on the NHS that we are back to those days?

[The Prime Minister]

What we have is this Government putting £12.7 billion more into the NHS, and that is why we have 1,200 more nurses, 8,000 more doctors and patients being treated with greater care. The real point is this: the right hon. Gentleman famously forgot to mention the deficit, and we know what happens when you forget about the deficit. Look what happened to health care spending in Portugal: cut by 17%. Look what happened to health care spending in Greece: cut by 14%. He cannot run the economy and he cannot run the NHS—he has no plan for either.

[Edward Miliband]

I will tell the right hon. Gentleman what is happening. Deficits are rising right across the NHS because of his mismanagement—his top-down reorganisation that nobody wanted and nobody voted for. He has turned the NHS from a service that was succeeding to a service in crisis, and it is a crisis of his making. He closed the walk-in centres. He introduced the top-down reorganisation. He cancelled the GP target so that people could get in to see their general practitioner. He has broken his promises. Only a Labour Government can save the national health service.