Health and Social Care Bill. Second reading debate agreed to on division (321 votes to 235). Programme motion on proceedings in Committee, on Report, Third reading and any other proceedings, agreed to on question. Queen's recommendation signified. Money resolution agreed to on question. Ways and means resolution agreed to on question.
Health and Social Care Bill
Debate on bills on Monday, 31 January 2011,
in the House of Commons,
led by Lord Lansley.
The answering
member was John Healey.
About these Parliamentary proceedings
Reference
522 c605-705 Session
2010-12Legislative stage
Second readingChamber / Committee
House of Commons chamberRelated items
Health and Social Care Bill. In two volumes. Explanatory notes also published (Bill 132-EN).
Wednesday, 19 January 2011
Bills
House of Commons
Wednesday, 19 January 2011
Bills
House of Commons
Show all related items (9)
Commissioning. Health Select Committee third report in 2 volumes with formal minutes, evidence (HC 513 i-vi not printed separately) and appendices. (Volume III with additional written evidence is on www.parliament.uk/healthcom)
Thursday, 13 January 2011
Parliamentary committees
House of Commons
Thursday, 13 January 2011
Parliamentary committees
House of Commons
Proceeding contributions
Debbie Abrahams | 522 c645-7 (Link to this contribution)
Thank you for calling me to make my maiden speech in this debate today, Mr Speaker. I am deeply hono...
Speaker | 522 c627 (Link to this contribution)
Order. Because of the popularity of this debate, a six-minute limit on speeches has been introduced,...
Show all contributions (253)
Kevin Barron | 522 c635 (Link to this contribution)
I am not saying that savings should not be made. Indeed, the Select Committee in the last Parliament...
Andrew George | 522 c635 (Link to this contribution)
Will the right hon. Gentleman give way?
Kevin Barron | 522 c635 (Link to this contribution)
No, I will not; I have given way twice. The hon. Gentleman can make his own speech.
The King's Fund...
Kevin Barron | 522 c634 (Link to this contribution)
I give way for the last time.
Graham Stuart | 522 c634 (Link to this contribution)
The Chair of the Health Committee also set out the central challenge, which was recognised by the pr...
Kevin Barron | 522 c633-4 (Link to this contribution)
I shall move on quickly. We had seven hours and 45 minutes to debate the Bill, but the first hour an...
Gordon Birtwistle | 522 c632-3 (Link to this contribution)
The service was removed by the hon. Lady's Government, so I do not need to worry too much about priv...
Kevin Barron | 522 c634 (Link to this contribution)
That is an interesting comment, but the Bill does not represent that. In my borough, the PCT—as was;...
Daniel Byles | 522 c634 (Link to this contribution)
Will the right hon. Gentleman not concede that the Bill does not represent any reorganisation of NHS...
Gordon Birtwistle | 522 c632 (Link to this contribution)
I am pleased that the reconfiguration board is now studying a decision that the previous Government ...
Helen Jones | 522 c632 (Link to this contribution)
The Bill allows private providers to undercut the NHS. What would the hon. Gentleman's reaction be i...
Gordon Birtwistle | 522 c631 (Link to this contribution)
I shall support the Bill, because it will mean an end to the disruption and devastation of local hos...
Rosie Cooper | 522 c631 (Link to this contribution)
When I asked the Secretary of State who would make the decision if the consortium and the health and...
Graham Stuart | 522 c630 (Link to this contribution)
Will the right hon. Gentleman give way?
Frank Dobson | 522 c630-1 (Link to this contribution)
No, I do not have time.
Those improvements have come about not as a result of any structural change...
Frank Dobson | 522 c630 (Link to this contribution)
I make no apologies for the policies that were pursued while I was Secretary of State for Health, be...
Stephen Dorrell | 522 c629-30 (Link to this contribution)
I have been here long enough not to presume to speak on behalf of a Select Committee on a question t...
Hugh Bayley | 522 c629 (Link to this contribution)
I wonder whether the Select Committee agrees that private contractors, where they are engaged, shoul...
Stephen Dorrell | 522 c628 (Link to this contribution)
I give way to the hon. Gentleman, an expert on health policy from the Back Benches, who may able to ...
David Miliband | 522 c641-2 (Link to this contribution)
It is a pleasure to follow the hon. Member for Central Suffolk and North Ipswich (Dr Poulter). I con...
David Miliband | 522 c642 (Link to this contribution)
I am happy to wager the hon. Gentleman that the costs will turn out to be more like double those est...
Mark Simmonds | 522 c642 (Link to this contribution)
Will the right hon. Gentleman give way?
David Miliband | 522 c642-3 (Link to this contribution)
No, I have given way once and I want to make some progress. If I have time, I will come back to the ...
Frank Dobson | 522 c643 (Link to this contribution)
Does my right hon. Friend agree that the hon. Member for St Ives (Andrew George) is perhaps being a ...
David Miliband | 522 c643-4 (Link to this contribution)
The benefits of memory are useful in politics, and perhaps my right hon. Friend's intervention will ...
Mark Garnier | 522 c644-5 (Link to this contribution)
It is a great pleasure to follow the right hon. Member for South Shields (David Miliband). I am deli...
Dan Poulter | 522 c641 (Link to this contribution)
No, I have taken two interventions and I will not take any more.
The Bill will allow health care to...
Hugh Bayley | 522 c641 (Link to this contribution)
Will the hon. Gentleman give way?
Dan Poulter | 522 c640-1 (Link to this contribution)
The Opposition need to take on board the fact that the cost of running PCTs has gone up by about £1 ...
Jim Dowd | 522 c638-9 (Link to this contribution)
I will not give way, for one good reason: I might get injury time for it, but others would lose out....
Mark Simmonds | 522 c637 (Link to this contribution)
I entirely agree with my hon. Friend. My understanding is that the NHS commissioning board will have...
Jim Dowd | 522 c637-8 (Link to this contribution)
It is a pleasure to follow the hon. Member for Boston and Skegness (Mark Simmonds). Although I do no...
Dan Poulter | 522 c640 (Link to this contribution)
My hon. Friend represents Eastbourne, which has a large elderly population. He is right to make that...
Grahame Morris | 522 c640 (Link to this contribution)
Has the hon. Gentleman made any assessment of the reduction in the number of managers, consultants a...
Dan Poulter | 522 c639 (Link to this contribution)
I, too, rise to speak in favour of the Bill. There is a clear divide in the House between the Labour...
Stephen Lloyd | 522 c639 (Link to this contribution)
I agree that the issue of ageing patients is a fundamental challenge. Does my hon. Friend agree that...
Graham Stuart | 522 c637 (Link to this contribution)
Like my hon. Friend, I will support the Bill. Does he hope, as I do, that the Government will look v...
Mark Simmonds | 522 c636-7 (Link to this contribution)
My hon. Friend is absolutely right. I remember him fighting tirelessly and vociferously to try to pr...
Lee Scott | 522 c636 (Link to this contribution)
At the risk of being accused of management-bashing, may I point out that somebody in my own trust wh...
John Healey | 522 c623 (Link to this contribution)
No, I do not accept that, but I will tell the hon. Gentleman that the measures in this Bill will und...
John Healey | 522 c623-4 (Link to this contribution)
My hon. Friend is right—and the chief executive of the Patients Association, Katherine Murphy has sa...
Alex Cunningham | 522 c623 (Link to this contribution)
I hope that my right hon. Friend will agree that the NHS is supposed to be about people and their he...
John Healey | 522 c622 (Link to this contribution)
That is one of the things that worries experts and those in the health service the most. It is also ...
Dennis Skinner | 522 c622-3 (Link to this contribution)
Why on earth should the health service be changed? We had 13 years. We dragged the health service fr...
John Healey | 522 c623 (Link to this contribution)
Well, my hon. Friend is right in this respect: people will come to see clearly that they cannot trus...
John Pugh | 522 c623 (Link to this contribution)
I cannot follow the previous contribution, but the right hon. Gentleman has mentioned democratic acc...
John Healey | 522 c621-2 (Link to this contribution)
I am more interested in what we will be facing in future. I am more interested in the claim by the H...
Speaker | 522 c622 (Link to this contribution)
Order. I know that this debate is attracting a lot of emotion and generating a lot of heat, but will...
John Healey | 522 c622 (Link to this contribution)
I accept that correction, Mr Deputy Speaker. Let me put it in these terms. The policy is not Liberal...
Andrew George | 522 c621 (Link to this contribution)
I am grateful to the shadow Secretary of State for giving way. I would accept his criticisms more op...
John Healey | 522 c621 (Link to this contribution)
The problem for PCTs, and the managers and staff who work in them, is that they are being asked to d...
Andy Slaughter | 522 c620-1 (Link to this contribution)
Mr Nash's wife also bankrolled my opponent at the last election—for all the good it did him. However...
John Healey | 522 c621 (Link to this contribution)
My hon. Friend won his seat at the last election because he helped to expose the truth about the Con...
David Lammy | 522 c620 (Link to this contribution)
My right hon. Friend is right to press the case about private providers. Is he surprised that the Se...
Geraint Davies | 522 c620 (Link to this contribution)
Does my right hon. Friend accept that the core difficulty with the Bill is that it is not about pati...
John Healey | 522 c620 (Link to this contribution)
My hon. Friend is right. For the first time in the NHS we are facing, first, the potential for profi...
Daniel Byles | 522 c620 (Link to this contribution)
The right hon. Gentleman does not seem to understand how the health service operated under his Labou...
John Healey | 522 c620 (Link to this contribution)
If the hon. Gentleman was worried about the past, he should be a good deal more worried about the fu...
Andrew Bridgen | 522 c621 (Link to this contribution)
I thank the right hon. Gentleman for giving way. In my first two weeks as an MP, I paid a visit to t...
Stephen Dorrell | 522 c628 (Link to this contribution)
Let me pose the question and I shall be delighted to give way. Which of the key themes does the righ...
Stephen Dorrell | 522 c628 (Link to this contribution)
indicated assent.
John Healey | 522 c628 (Link to this contribution)
The right hon. Gentleman started by saying that the policies are an evolution. If that is the case, ...
Stephen Dorrell | 522 c628 (Link to this contribution)
Indeed it did. I offered the right hon. Gentleman four consistent themes of policy. He accurately qu...
John Healey | 522 c628 (Link to this contribution)
The right hon. Gentleman, who is nodding, went on:"““Then in July that approach was changed. That ca...
John Healey | 522 c626 (Link to this contribution)
My hon. Friend may be right. I have not seen the regulations, but that is certainly in the impact as...
David Anderson | 522 c626 (Link to this contribution)
In a disparaging comment earlier, the Secretary of State said that the voices of concern were the vo...
John Healey | 522 c626-7 (Link to this contribution)
My hon. Friend is right. The more that NHS staff see of the changes and the consequences of this Gov...
Stephen Dorrell | 522 c627-8 (Link to this contribution)
I rise to support the Bill. The shadow Secretary of State started by saying that my right hon. Frien...
Clive Efford | 522 c626 (Link to this contribution)
Will my right hon. Friend confirm that in order to shoehorn private enterprise into the NHS, the reg...
John Healey | 522 c625 (Link to this contribution)
Oh dear, the hon. Gentleman really has to get a better briefing from his Whips than that.
Jesse Norman | 522 c625 (Link to this contribution)
I note that the right hon. Gentleman failed to answer the question about the rate of increase in the...
John Healey | 522 c625 (Link to this contribution)
The hon. Gentleman has already heard some of my hon. Friends mention the analysis of Dr John Appleby...
John Healey | 522 c624 (Link to this contribution)
The public are being told that the reorganisation is ““patient centred””, but patients are being sol...
Nick de Bois | 522 c624 (Link to this contribution)
Will the right hon. Gentleman try to understand—[Interruption.] Perhaps he will. Members suggest tha...
John Baron | 522 c625 (Link to this contribution)
The right hon. Gentleman talks of broken promises. What does he say to cancer patients who regularly...
John Healey | 522 c624 (Link to this contribution)
This is ideological. It is about driving politics into the heart of the NHS, and in some respects br...
John Healey | 522 c624-5 (Link to this contribution)
I want to make a bit of progress before I give way again.
The public are being told that this reorg...
Rosie Cooper | 522 c649 (Link to this contribution)
Will the hon. Gentleman give way?
Henry Smith | 522 c649 (Link to this contribution)
I do not see how multiple providers is a definition of a monopoly. However, I must make progress in ...
Geraint Davies | 522 c649 (Link to this contribution)
Does the hon. Gentleman accept that what his community, like other communities, will face is a local...
Mark Garnier | 522 c645 (Link to this contribution)
I am grateful to the right hon. Gentleman for bringing that up. If my predecessor were that upset ab...
Henry Smith | 522 c648-9 (Link to this contribution)
I dispute that reading of the Bill. Maternity was taken away from my local community in 2001 and is ...
Hugh Bayley | 522 c648 (Link to this contribution)
The hon. Gentleman champions localism, but has he picked up that maternity services will be taken aw...
Henry Smith | 522 c648 (Link to this contribution)
My hon. Friend is indeed legendary at Crawley hospital, and it is great to take part in this debate ...
Dan Poulter | 522 c648 (Link to this contribution)
I had the pleasure of working at my hon. Friend's local hospital at Crawley. When I was there, I saw...
Anne Marie Morris | 522 c653 (Link to this contribution)
One of the concerns that I have come across is from health professionals who would be delighted to s...
Nadine Dorries | 522 c652 (Link to this contribution)
I wish that that had been a more sensible question, because then I would have been delighted to give...
Pat Glass | 522 c650 (Link to this contribution)
Does my hon. Friend share my concerns that these plans will lead to high and low-tariff services, an...
Catherine McKinnell | 522 c652 (Link to this contribution)
It strikes me that despite what the hon. Lady is saying about the patient becoming the heart of the ...
Grahame Morris | 522 c649-50 (Link to this contribution)
One thing is clear: from whatever perspective we consider the reforms in the Bill—whether from that ...
Henry Smith | 522 c649 (Link to this contribution)
I am sorry, but I have not got enough time.
I will support the measures in the Bill, as should all ...
Grahame Morris | 522 c650 (Link to this contribution)
I agree completely with my hon. Friend's point. According to evidence given to the Select Committee ...
Catherine McKinnell | 522 c650 (Link to this contribution)
Does my hon. Friend agree that in any one year some GPs will deal only with one or two patients with...
Nadine Dorries | 522 c653 (Link to this contribution)
Absolutely, and the Bill will address that, in as much as care will be more easily accessed by the G...
Stephen Lloyd | 522 c657 (Link to this contribution)
I agree with much that my hon. Friend is saying about integration and the need to work with the comm...
Sarah Newton | 522 c656-7 (Link to this contribution)
Thank you, Madam Deputy Speaker, for calling me to speak in this most important debate. The scope of...
Hugh Bayley | 522 c656 (Link to this contribution)
I certainly do not agree with the way in which it is being introduced. The right hon. Gentleman will...
Stephen Dorrell | 522 c655 (Link to this contribution)
I am anxious to provide the hon. Gentleman with extra minutes so that he can tell us whether he appr...
Hugh Bayley | 522 c655 (Link to this contribution)
If I were convinced that they could be answered, I would indeed support the Government, but unfortun...
Hugh Bayley | 522 c654-5 (Link to this contribution)
The Government White Paper said some sensible things: it promised to increase NHS spending in real t...
Rosie Cooper | 522 c653 (Link to this contribution)
Will the hon. Lady give way?
Sarah Newton | 522 c657 (Link to this contribution)
As someone who represents a rural area of Cornwall where GPs' delivery of pharmaceutical services is...
Anne Marie Morris | 522 c657 (Link to this contribution)
Is not one of the real strengths of making public health part of the role of local government the fa...
Nick de Bois | 522 c694 (Link to this contribution)
Thank you, Mr Speaker.
For years, we have suffered from a lack of local accountability in the healt...
Speaker | 522 c694 (Link to this contribution)
Order. The hon. Member for Enfield North (Nick de Bois) is being generous in giving way, but I remin...
David Anderson | 522 c691-2 (Link to this contribution)
I rise to speak not only as a former official of Unison, the biggest trade union in the health servi...
Nick de Bois | 522 c692-4 (Link to this contribution)
I am very grateful for this opportunity to contribute to the debate. It is a great relief to note th...
Graham Stuart | 522 c688 (Link to this contribution)
Rationing is inevitable in any system, but who should best do it? Should remote managers do it away ...
Geraint Davies | 522 c688 (Link to this contribution)
A GP must always ask what the best treatment for the patient is rather than what the best treatment ...
Geraint Davies | 522 c688-9 (Link to this contribution)
I shall not give way.
The Bill is setting up an incentive system that will make GPs make the wrong ...
Neil Carmichael | 522 c688 (Link to this contribution)
Is it not possible that doctors' consortia will simply make the right decisions for patients, focusi...
Geraint Davies | 522 c688 (Link to this contribution)
The taxpayer invests in GPs to provide medical and clinical excellence so that they can diagnose peo...
Baroness Chapman of Darlington | 522 c684 (Link to this contribution)
In response to the intervention on the recorded death rates from coronary heart disease in France, I...
Joan Walley | 522 c684 (Link to this contribution)
What we have seen is the university college of North Staffordshire linked to the medical college at ...
Mel Stride | 522 c684 (Link to this contribution)
In looking at NHS performance, should we not seek to compare ourselves with international equivalent...
Robert Flello | 522 c684 (Link to this contribution)
I look forward to hearing more of my hon. Friend's speech, which I know will be to her usual high st...
Joan Walley | 522 c684 (Link to this contribution)
I am pleased to speak briefly about this Bill; I know that many Members on both sides of the House s...
Priti Patel | 522 c682-4 (Link to this contribution)
I am grateful for the opportunity to speak in this important debate. I congratulate the Secretary of...
Geoffrey Robinson | 522 c681-2 (Link to this contribution)
I am pleased to follow the hon. Member for Totnes (Dr Wollaston), who speaks with a great deal of ex...
Sarah Wollaston | 522 c679 (Link to this contribution)
I agree with my hon. Friend. We have heard some terrible slurs about GPs profiteering and lining the...
Sarah Wollaston | 522 c680 (Link to this contribution)
I am very confident, because I have discussed that question with the Secretary of State, who has ass...
Graham Stuart | 522 c680 (Link to this contribution)
My hon. Friend rightly emphasises quality ahead of cost, but surely both should be considered. In a ...
Daniel Byles | 522 c676 (Link to this contribution)
I am grateful to my hon. Friend for making the point exactly. The NHS cannot carry on with managemen...
Baroness Hodge of Barking | 522 c676-7 (Link to this contribution)
I speak both as Chair of the Public Accounts Committee and as the MP for Barking. As PAC Chair, my c...
Baroness Hodge of Barking | 522 c677-8 (Link to this contribution)
Indeed, and I was going to come to that point. As I understand it, Ministers have set aside £1.7 bil...
Stephen McPartland | 522 c676 (Link to this contribution)
Does my hon. Friend accept the figures from the Royal College of Midwives showing that in 1997 there...
David Anderson | 522 c675 (Link to this contribution)
If it is a ring-fenced budget, why does the Royal College of Nursing believe that there will be 27,0...
Daniel Byles | 522 c674-5 (Link to this contribution)
I am grateful for the opportunity to speak in this debate, and declare an interest in that my wife i...
Baroness Hodge of Barking | 522 c671 (Link to this contribution)
Does my right hon. Friend agree that there is another issue with privatisation? If a private, BUPA-r...
Malcolm Wicks | 522 c671-2 (Link to this contribution)
Certainly, I can see that the commissioners might feel that someone had to look after the patients, ...
Baroness Morgan of Cotes | 522 c669 (Link to this contribution)
I was just talking about that, but the point that has been made is that GPs do not feel that they ne...
Emma Reynolds | 522 c669 (Link to this contribution)
Is the hon. Lady as concerned as I am that a recent survey by Rethink showed that 95% of GPs did not...
Baroness Morgan of Cotes | 522 c669 (Link to this contribution)
I am afraid that I must make some progress.
My second point relates to joined-up care, which carrie...
Baroness Morgan of Cotes | 522 c667-8 (Link to this contribution)
Thank you, Madam Deputy Speaker, for allowing me to contribute to the debate on a Bill that is essen...
Anne Marie Morris | 522 c668 (Link to this contribution)
I absolutely support what my hon. Friend says. I have the very good example in my constituency of De...
Baroness Morgan of Cotes | 522 c668-9 (Link to this contribution)
I entirely agree with my hon. Friend. It just shows that GPs, if they are given the responsibility, ...
Emma Reynolds | 522 c665-6 (Link to this contribution)
There is much disquiet and concern among health professionals about the speed and scale of the refor...
Graham Stuart | 522 c666 (Link to this contribution)
The hon. Lady is giving a powerful speech, making the case that every Government must look for effic...
Emma Reynolds | 522 c667 (Link to this contribution)
I have already said that we on the Labour Benches recognise the need to drive efficiencies and, as p...
Speaker | 522 c664 (Link to this contribution)
Order. Time is up.
Clive Efford | 522 c663 (Link to this contribution)
Members can just sit there and listen. [Hon. Members: ““Give way!””] They put this ridiculous Bill u...
Clive Efford | 522 c663 (Link to this contribution)
No, I am not going to give way.
What about the idea that there will be patient choice and that pati...
John Baron | 522 c661-2 (Link to this contribution)
I agree with the general gist of what the hon. Gentleman is saying, but I would not say that the can...
Clive Efford | 522 c662-3 (Link to this contribution)
This is a very dark day for the future of our national health service, particularly for those who ha...
John Baron | 522 c660-1 (Link to this contribution)
I rise to support the Bill, because I support the two big ideas behind it. The first of those is the...
Owen Smith | 522 c661 (Link to this contribution)
Given the hon. Gentleman's interest in cancer, I am sure that he will know that the point is that th...
Stephen Lloyd | 522 c660 (Link to this contribution)
Will the hon. Gentleman give way?
Jonathan Reynolds | 522 c660 (Link to this contribution)
I am not going to give way. Other hon. Members wish to get involved in this debate and it is a disgr...
Sarah Newton | 522 c657-8 (Link to this contribution)
I entirely agree with my hon. Friend, who has anticipated a point that I was about to make.
The ret...
Derek Twigg | 522 c696-7 (Link to this contribution)
The issue of accountability for this House—what we can and cannot do—is important and I will come on...
Lord Lansley | 522 c610-1 (Link to this contribution)
I am grateful to my hon. Friend for that point. I have not previously been asked to comment on the m...
Andrew George | 522 c610 (Link to this contribution)
On patient choice in health service design, is the Secretary of State aware that in Cornwall the pri...
Ronnie Campbell | 522 c611 (Link to this contribution)
Will there be public accountability for the private companies that will come in and do the commissio...
Lord Lansley | 522 c611 (Link to this contribution)
The accountability in the NHS will be for the quality of the service being provided. The hon. Gentle...
Lord Lansley | 522 c611 (Link to this contribution)
Let me complete this point, then I will give way to my hon. Friend the Member for Basildon and Bille...
John Baron | 522 c611-2 (Link to this contribution)
The Government's increased focus on improving outcomes is long overdue and very welcome, but will th...
Lord Lansley | 522 c612 (Link to this contribution)
My hon. Friend rightly takes a close interest in these matters. When I was with him and other collea...
David Lammy | 522 c612 (Link to this contribution)
Will the Secretary of State say how many GP contractors he estimates will be private companies? Will...
Ian Lucas | 522 c609 (Link to this contribution)
Will the right hon. Gentleman give way?
Lord Lansley | 522 c609 (Link to this contribution)
I agree with my hon. Friend. In effect, that gives the lie to what the hon. Member for Wrexham (Ian ...
Bernard Jenkin | 522 c608 (Link to this contribution)
May I assure my right hon. Friend that this is not being greeted by local GPs in my constituency as ...
Lord Lansley | 522 c608 (Link to this contribution)
They were, as I will explain in a minute.
Emma Reynolds | 522 c609 (Link to this contribution)
The right hon. Gentleman quoted the National Audit Office earlier. Does he agree with the statement ...
Lord Lansley | 522 c609 (Link to this contribution)
No, far from it—actually, quite the contrary. It is only by virtue of our ability to engage front-li...
Lord Lansley | 522 c609 (Link to this contribution)
I am sorry, but 57 Members wish to speak, as you have rightly told us, Mr Speaker. I will give way a...
Ronnie Campbell | 522 c610 (Link to this contribution)
Will the right hon. Gentleman give way?
Lord Lansley | 522 c610 (Link to this contribution)
No. I am going to make some progress.
The Labour party, when in government, pioneered patient choic...
Jim Cunningham | 522 c610 (Link to this contribution)
Can the right hon. Gentleman say how many jobs will go in front-line services and how many hospital ...
Lord Lansley | 522 c610 (Link to this contribution)
I just wish that the hon. Gentleman would look at the latest published data. Since the election, we ...
Lord Lansley | 522 c607 (Link to this contribution)
In a moment. I have just answered one question.
Why did spending more not deliver better results? W...
Lord Lansley | 522 c607 (Link to this contribution)
With his knowledge of European matters, the right hon. Gentleman knows that we are in the later stag...
Denis MacShane | 522 c606-7 (Link to this contribution)
Given the Secretary of State's praise for health care systems in Europe, which we are all connected ...
Baroness Hodge of Barking | 522 c607 (Link to this contribution)
Will the Secretary of State give way?
Ian Lucas | 522 c607 (Link to this contribution)
Will the Secretary of State give way?
Speaker | 522 c608 (Link to this contribution)
Order. I remind Members that interventions should be short. There are 57 Members seeking to speak in...
Lord Lansley | 522 c608 (Link to this contribution)
Thank you, Mr Speaker. I can give my hon. Friend the Member for Ealing Central and Acton (Angie Bray...
Ian Lucas | 522 c608 (Link to this contribution)
The right hon. Gentleman is being generous in giving way. If those proposals are so important and ne...
Baroness Hodge of Barking | 522 c607 (Link to this contribution)
I thank the right hon. Gentleman. He is right to draw attention to the fact that productivity has fa...
Lord Lansley | 522 c607-8 (Link to this contribution)
The right hon. Lady should understand, as I will go on to explain, that we are not distracting the N...
Kevin Barron | 522 c605 (Link to this contribution)
I do not dispute what the Secretary of State says about European comparators, but what does he say t...
Lord Lansley | 522 c605 (Link to this contribution)
I beg to move, That the Bill be now read a Second time.
The purpose of the Bill can be expressed in...
Nadine Dorries | 522 c606 (Link to this contribution)
Does my right hon. Friend agree that, given the disparity in survival rates in trauma care and in ma...
Lord Lansley | 522 c606 (Link to this contribution)
My hon. Friend is right. We need not only to match European spending, as we do now, but to ensure th...
Geraint Davies | 522 c605-6 (Link to this contribution)
On the John Appleby point, does the Secretary of State accept that what he actually said was that th...
Lord Lansley | 522 c606 (Link to this contribution)
First, I have just answered the point about John Appleby. It is true in a number of respects, as I h...
Lord Lansley | 522 c605 (Link to this contribution)
I would say two things to Professor John Appleby. First, the latest data published in EUROCARE-4, wh...
Nick Boles | 522 c618 (Link to this contribution)
The Labour Government introduced foundation hospitals, private sector provision in the NHS, patient ...
John Healey | 522 c617-8 (Link to this contribution)
The Health Secretary is a man who is struggling to sell his plans. The more people learn about them,...
Lord Lansley | 522 c617 (Link to this contribution)
I must conclude and allow other Members to contribute to the debate.
The Bill will change structure...
Lord Lansley | 522 c616-7 (Link to this contribution)
No, not at the moment. Sorry.
There are now 141 pathfinders, covering more than 28 million patients...
Charlie Elphicke | 522 c615 (Link to this contribution)
Will my right hon. Friend give way?
Lord Lansley | 522 c615 (Link to this contribution)
I have given way to the right hon. Gentleman before.
General practitioners and health care professi...
Lord Lansley | 522 c615 (Link to this contribution)
No, not at the moment.
The unions, of course, are against this modernisation of our public services...
David Lammy | 522 c615 (Link to this contribution)
Will the right hon. Gentleman give way?
Lord Lansley | 522 c615 (Link to this contribution)
I apologise, but I have taken longer than I had intended, and 57 Members are waiting to speak.
I wi...
Lord Lansley | 522 c614-5 (Link to this contribution)
I am grateful to my hon. Friend for that question. In addition to the measures on healthwatch and pa...
Clive Efford | 522 c614 (Link to this contribution)
The right hon. Gentleman will know that the Bill introduces European competition law into the nation...
Lord Lansley | 522 c614 (Link to this contribution)
I give way to the hon. Gentleman. I will give way to my hon. Friend the Member for Stafford (Jeremy ...
Jeremy Lefroy | 522 c614 (Link to this contribution)
The Secretary of State referred to the Mid Staffordshire NHS Foundation Trust, into which an inquiry...
Lord Lansley | 522 c614 (Link to this contribution)
Time does not permit me to explain the extraordinary ignorance of that series of points. First, the ...
Lord Lansley | 522 c613-4 (Link to this contribution)
Let me make two points to the right hon. Gentleman. First, in the impact assessment that we publishe...
Lord Blunkett | 522 c613 (Link to this contribution)
On bottom-up decision making at a local level, will the Secretary of State give a guarantee to the H...
Lord Lansley | 522 c613 (Link to this contribution)
In a moment. [Interruption.] The right hon. Gentleman's Front Benchers have been asking me to explai...
Lord Blunkett | 522 c613 (Link to this contribution)
Will the Secretary of State give way?
John Healey | 522 c619-20 (Link to this contribution)
May I urge the hon. Gentleman to look very closely at the Bill and beyond what he hears the Health S...
Stephen Dorrell | 522 c619 (Link to this contribution)
Will the right hon. Gentleman now answer the question put to him by my right hon. Friend the Health ...
John Healey | 522 c619 (Link to this contribution)
The point made by right hon. Friend the Member for South Shields is based on page 42 onwards of the ...
Lord Lansley | 522 c618-9 (Link to this contribution)
The edifice of an argument from the right hon. Member for South Shields (David Miliband), which is r...
John Healey | 522 c618 (Link to this contribution)
I shall answer my right hon. Friend the Member for South Shields (David Miliband), then I will give ...
Lord Lansley | 522 c618 (Link to this contribution)
Will the right hon. Gentleman give way?
John Healey | 522 c618 (Link to this contribution)
Characteristically, my right hon. Friend is absolutely right. These changes to the NHS and the Bill—...
David Miliband | 522 c618 (Link to this contribution)
Does my right hon. Friend agree that the most significant change in the Bill was not mentioned by th...
John Healey | 522 c618 (Link to this contribution)
It is true that we encouraged many of the GP commissioning models that the Health Secretary now cham...
Gordon Birtwistle | 522 c619 (Link to this contribution)
I do not remember in the 2005 Labour party manifesto the ““Meeting Patients' Needs”” programme that ...
John Healey | 522 c619 (Link to this contribution)
We operated an NHS with a set tariff, not a maximum tariff. In government, we operated an NHS in whi...
Julian Sturdy | 522 c690-1 (Link to this contribution)
It is a privilege to be called to speak in today's debate at such a late hour. I shall try and keep ...
Henry Smith | 522 c694 (Link to this contribution)
Had the Bill been law 10 years ago, Crawley hospital would not have lost accident and emergency and ...
Geraint Davies | 522 c687-8 (Link to this contribution)
I am glad to be called to speak at this hour, Mr Deputy Speaker. It is my joy to celebrate the achie...
John Leech | 522 c686-7 (Link to this contribution)
I am delighted to have an opportunity to speak, given the number of Members who wished to contribute...
Joan Walley | 522 c684 (Link to this contribution)
I am coming on to public health, as it is the main issue on which I wish to concentrate.
Speaker | 522 c680 (Link to this contribution)
Order. Time is up.
Sarah Newton | 522 c679 (Link to this contribution)
My hon. Friend mentions GPs working together on a not-for-profit basis. Does she share my huge disap...
Andrew George | 522 c680 (Link to this contribution)
My hon. Friend talks about the role of GPs in cutting costs. I would be interested to hear whether, ...
Sarah Wollaston | 522 c680 (Link to this contribution)
I am confident that commissioners will consider the impact of those decisions across the health care...
Robert Flello | 522 c677 (Link to this contribution)
My right hon. Friend is making a good-quality speech, as usual. Surely in areas such as Stoke-on-Tre...
Rosie Cooper | 522 c673-4 (Link to this contribution)
I am delighted to follow a fellow member of the Health Committee. I, too, am looking forward to the ...
Daniel Byles | 522 c675 (Link to this contribution)
The NHS budget is going up in real terms every year, as the hon. Gentleman can see by looking at the...
Malcolm Wicks | 522 c670-1 (Link to this contribution)
The status quo in British health care is certainly no serious option. Improving the NHS is, of cours...
Tom Blenkinsop | 522 c669 (Link to this contribution)
I applaud the hon. Lady for making such an excellent case for mental health services, but I would li...
Baroness Morgan of Cotes | 522 c669-70 (Link to this contribution)
There is already some excellent provision in Leicestershire. I hear the hon. Gentleman's point, as, ...
Andrew George | 522 c672-3 (Link to this contribution)
It is a pleasure to follow the right hon. Member for Croydon North (Malcolm Wicks) and his encyclopa...
Hugh Bayley | 522 c669 (Link to this contribution)
Will the hon. Lady give way?
Simon Burns | 522 c697-700 (Link to this contribution)
When NHS funding has reached the European average, but the outcomes for care have not; when doctors ...
Derek Twigg | 522 c694-6 (Link to this contribution)
This has been a fascinating debate with some interesting and excellent speeches. Some 17 Labour Memb...
Robert Flello | 522 c696 (Link to this contribution)
Does my hon. Friend recognise the effect when a local MP sets up a big campaign? In my constituency,...
Mark Simmonds | 522 c635-6 (Link to this contribution)
It is always a pleasure to follow the right hon. Member for Rother Valley (Mr Barron). Although I di...
Simon Burns | 522 c642 (Link to this contribution)
May I correct the right hon. Gentleman before he goes too far down that path? The impact assessment ...
Jeremy Corbyn | 522 c622 (Link to this contribution)
Is my right hon. Friend aware that, in the rush to establish a GP commissioning system, PCTs are bei...
John Healey | 522 c620 (Link to this contribution)
I am surprised that the Health Secretary was asked a direct question and did not answer. I would sim...
Frank Dobson | 522 c645 (Link to this contribution)
At a press conference this morning, the hon. Gentleman's predecessor, Dr Richard Taylor, made it per...
Grahame Morris | 522 c651 (Link to this contribution)
I agree with the concerns expressed by my hon. Friend. There are concerns about the removal of the t...
Nadine Dorries | 522 c652 (Link to this contribution)
I rise to support a Bill that I believe is perhaps one of the most exciting, if controversial, Bills...
Steve Brine | 522 c664-5 (Link to this contribution)
I should like to say that it is a pleasure to follow the hon. Member for Eltham (Clive Efford), but ...
Henry Smith | 522 c647-8 (Link to this contribution)
Before I begin my remarks on the Bill, may I say how well the hon. Member for Oldham East and Saddle...
Stephen Dorrell | 522 c655 (Link to this contribution)
The hon. Gentleman is making a thoughtful speech and asking, if I may say so, some very good questio...
Nadine Dorries | 522 c653-4 (Link to this contribution)
I cannot, because I have given way twice and I have no more time.
If that patient were in pain, why...
Joan Walley | 522 c685-6 (Link to this contribution)
Statistics can be used in all kinds of ways. I remember the case of a young girl of six who could no...
Sarah Wollaston | 522 c678-9 (Link to this contribution)
It is easy to see why politicians continuously want to fix the NHS. The perspective from the green B...
Jonathan Reynolds | 522 c658-60 (Link to this contribution)
As we have already heard today, the public love the NHS. and they are right to do so. Of course it i...
Baroness Bray of Coln | 522 c608 (Link to this contribution)
My right hon. Friend will be aware that there has recently been an excellent reorganisation of strok...
Lord Lansley | 522 c612 (Link to this contribution)
There are two points to make. First, we have made no estimate of the extent to which GP-led commissi...
Subjects
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Timestamp
2024-02-08 19:24:32 +0000
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