(11 years, 5 months ago)
Commons ChamberI thank the right hon. Gentleman for raising an important topic. I send my heartfelt sympathies to his constituent. As he identified, this is a real problem. Yes, is the short answer to his first question. I met officials several weeks ago to discuss exactly this problem, as we need to do more in that area. Of course, this is a national scheme. Whether there is a need for a local scheme in Manchester is a moot point, but his constituent will be able to access the national scheme. I am more than happy to discuss the matter further with him.
Neuroblastoma is a nasty cancer that affects fewer than 100 children a year. Thanks to the previous Labour Minister, Ann Keen, we persuaded the previous Prime Minister that it should be treated on the NHS without the need for a referral. Unfortunately, there seems to be some slippage, with some primary care trusts refusing to pay for the treatment. Will the Secretary of State look into the matter and see if they can be given the correct information, which is that they should be providing this treatment?
(11 years, 6 months ago)
Commons Chamber1. What his latest estimate is of the likely cost of the NHS in 2012-13.
The latest estimates of NHS spending are those published in the 2012 Budget. The planned NHS spending for 2012-13 is £108.8 billion.
The Conservative-led coalition Government are increasing spending on the NHS, unlike what Labour would do. In my constituency, we will get an urgent care centre in a few months as a result of Tory health reforms. People in Corby already have an urgent care centre as a result of Tory reforms. Does the Secretary of State agree that, while Labour talks about the NHS, Conservatives deliver on the NHS?
I absolutely agree with my hon. Friend. Indeed, last week we announced that waiting times are at near-record lows. The number of hospital-acquired infections continues to go down and mixed-sex wards have been virtually eliminated. I am very pleased that my hon. Friend has an urgent care centre, and am sure that Mrs Bone will appreciate it even more than he does.
(11 years, 10 months ago)
Commons ChamberI am grateful to my right hon. Friend. Let me just separate those two parts. First, when there are changes in a service, such as when there is a proposal to change the provider of community services from, for example, an NHS-owned provider to an independent sector provider, they will be a subject for local consultation.
Secondly, the right hon. Gentleman will recall that, when there is any proposal not to provide a service, the Secretary of State is responsible under legislation for the provision of a comprehensive health service. It is not open, as I have made clear to the right hon. Member for Leigh, to the NHS to discontinue the provision of NHS services. It has to—[Interruption.] He says from a sedentary position, “It is doing so,” but he is completely wrong. I wrote to him this morning.
We have stopped precisely the things that he said used to happen under the Labour Government, and it is precisely the case that trusts and future commissioners will have to maintain a comprehensive health service. They can apply clinical criteria and judge certain treatments to be of relatively poor value, but they must always maintain a service and show how they are responding to the clinical needs of their patients.
Ever since I was elected to Parliament, I have campaigned for an urgent care centre in a hospital in my constituency. Labour took NHS provision out of my constituency, but with the new Nene Valley clinical commissioning group we are going for the first time to have that urgent care centre. So I should welcome the Secretary of State to Wellingborough, but I must warn him that he would be carried shoulder-high through its streets—with people cheering him.
I cannot resist the enticement of such an invitation from my hon. Friend. It will reiterate what I found a year or so ago when I visited the nascent Nene Valley commissioning organisation. People there are really taking hold of things and showing how they can improve services in Northamptonshire.
(12 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Order. May I say to the hon. Member for Colne Valley (Jason McCartney) who is chuntering inanely from a sedentary position, to no obvious benefit or purpose, that the Chair is perfectly capable of adjudicating upon what is and is not in order and that it does not behove an hon. Member to seek to intervene in such matters? These proceedings have thus far been entirely orderly. That is the beginning and the end of the matter.
There is an old political saying that the Liberal Democrats say one thing at one end of their constituency and another thing at the other end. Will the Secretary of State lay that rumour absolutely to rest—that they are not saying one thing at this end of Parliament and another thing at the other end?
I am happy to be able to tell my hon. Friend that I, with my colleagues, have had very constructive engagement with my Liberal Democrat colleagues in government and, indeed, during the course of our debates in another place.
(12 years, 4 months ago)
Commons ChamberMay I say, in the nicest possible way, that I think the hon. Gentleman is a tiny bit confused? I think he is confusing the one-off costs of the modernisation with the 2% hold-back figures used by the PCTs, which put aside money—a process instigated by the right hon. Member for Leigh (Andy Burnham), which we carried on—that can be used if a PCT gets into financial problems. If it does not get into financial problems, it can then use the money to invest in front-line services.
The Conservative-led coalition should be congratulated on introducing a measure that will get rid of red tape and bureaucracy by getting rid of strategic health authorities and primary care trusts. Do the Labour Opposition not look like dinosaurs when they try to defend those bodies?
I am very grateful to my hon. Friend and I am always reassured when he congratulates the coalition Government, as it suggests to me that we are getting something right. My hon. Friend is absolutely right. As everyone who understands health policy in this country recognises, the NHS must evolve to meet changing needs and we are improving effectiveness and efficiency and saving money by cutting out administration and bureaucracy so that we can reinvest in front-line services to look after the health interests of all our constituents.
(12 years, 5 months ago)
Commons ChamberOn the latter point, I have been talking to those in training, and part of their education increasingly includes leadership. That is what we are looking for—clinical leadership, not to turn clinicians into managers. They will work with managers, but they will provide leadership.
On nursing training, the Care Quality Commission’s recent inspection reports, in particular, illustrated the sheer variability of care—sometimes even between wards in the same hospital. On that basis, we should not in any sense damn the quality of nurse training; we need to focus on the quality of nurse leadership—ward by ward, and hospital by hospital.
The new Government’s strategy on human trafficking requires the NHS to ensure that victims of human trafficking are recognised in hospitals and reported. One way of doing that is to improve training for nurses. I have just returned from Moldova, where nurses have a course on human trafficking as part of their training, so that they can recognise victims and help them. Is that something that we could incorporate here?
I am interested to hear my hon. Friend’s experience. I certainly look forward to hearing more from him about it, and to taking it on board in considering how we respond to those obviously tragic victims.
(12 years, 6 months ago)
Commons ChamberUnder no circumstances will it be able to do that. As I keep saying to the hon. Gentleman and his right hon. and hon. Friends, Hinchingbrooke is and will remain an NHS hospital, but a private company is providing the management. The NHS, through that management, will continue to operate the hospital.
I congratulate the hon. Member for Leicester West (Liz Kendall) on securing the urgent question and allowing the Government to concede that they have adopted a Labour policy by bringing in private management. Will the Minister look at the possibility of extending what we might call a pilot to Kettering hospital?
The answer is no. I do not want to disappoint my hon. Friend, but the simple answer is that Hinchingbrooke hospital, as the right hon. Member for Leigh will know, has a historical problem that the NHS tried to solve but failed. Given that the previous Government enacted powers to allow a franchise in exceptional circumstances, it is better to use that model to turn around the hospital rather than let it fail altogether. It is not a principle that we are considering extending across the NHS.
(12 years, 6 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Order. I intend to begin the wind-ups at 5 o’clock. Two more hon. Members wish to speak, and it is now 4.26 pm. I do not know whether this has been mentioned, but the Leader of the House has attended the debate, which shows its importance.
(12 years, 6 months ago)
Commons ChamberThe hon. Gentleman will know that we inherited significant supply problems to pharmacies from the previous Government, not least because of the exchange rate and the possibility of countertrade. We have worked with the industry to resolve those issues. The hon. Gentleman would be well advised to talk to the Welsh Assembly Government about the fact that patients in Wales cannot access the latest cancer medicines, as patients in England can do under the cancer drugs fund.
T6. Today is anti-slavery day, and our excellent Prime Minister will be hosting a reception at Downing street tomorrow to promote the new Government anti-trafficking strategy. That strategy includes a requirement for the health service to be proactive in identifying victims of trafficking. What progress has been made on that?
I am sure that we all share my hon. Friend’s view of the great importance of this matter. The Department of Health leads on ensuring that health care is available to people who have been rescued by the police from human trafficking. We also lead on promoting an awareness that local government has multi-agency safeguarding processes to assist in supporting people who have been abused and harmed. There is more to say, but I will write to my hon. Friend on the subject.
(12 years, 8 months ago)
Commons ChamberI start from the default position of opposing programme motions. The Government have consistently said that they also oppose programme motions and that they will overcome that problem by introducing a House Committee which will, of necessity, do away with programme motions, because the House will decide.
We have to look at programme motions now on the merits of each and every case. In this case, I have to say to the hon. Member for Leicester West (Liz Kendall) that I cannot agree with her. The Government have been very willing to listen to people—politicians—and to redo completely the parliamentary scrutiny of the Bill. They sent it back to Committee, from where it has come here. On this occasion, the Government have bent over backwards for scrutiny, and I will be voting with them in the Aye Lobby.
Question put.