Health and Care Bill

Before I address the amendments tabled in my name, I want to briefly voice my support for amendme...

Does my hon. Friend agree that Professor Marmot’s work on social and health inequalities shows th...

I could not agree more. Michael Marmot is one of the most important health inequalities experts a...

The hon. Lady will, of course, understand that one of our key aims must be to stop younger genera...

Most of my new clauses are indeed intended to prevent young people from starting to smoke in the ...

The hon. Lady has said that these measures apply to England, but they will of course have an effe...

Again, I could not agree more.

In Committee, the Minister said that the Department could al...

Is this not one of the most important of the hon. Lady’s new clauses? As people age and die—event...

I entirely agree. Tobacco is the only legal product that kills one in two of those who use it, an...

The figures back up what the hon. Lady says. Two thirds of smokers in the UK start smoking under ...

I thank the hon. Gentleman, and I will address that issue.

New clause 5 would close another...

Does my hon. Friend agree that prevention is much better than cure, because so many adult smokers...

I thank my hon. Friend for that intervention. A theme throughout these new clauses is that most p...

It is often vulnerable children, and often those in care, who start smoking early, so does my hon...

Yes, it is absolutely incredible. We have heard that a tobacco plan might be on its way, but ever...

I rise to speak in this debate to outline the case behind amendments 106 to 109 in my name, and t...

I have listened carefully to what the hon. Gentleman has said. Given that there is this disparity...

I am grateful to the hon. Gentleman for his intervention. If he will let me make a little more pr...

I certainly support the argument that my hon. Friend is putting forward. Does he feel that the Go...

My right hon. Friend has hit the nail on the head: if we are to tackle obesity as a country, we h...

I have put my name to my hon. Friend’s amendments because I agree with the points that he makes.<...

My right hon. Friend is absolutely right and speaks with great experience from her time as Secret...

It is a pleasure to speak for the Opposition in this first part of the debate on the Bill.

...

Does the shadow Minister agree that the Bill gives the green light to private profit making compa...

Yes. That was a strong theme in Committee that we on the Opposition Benches are very much against...

My hon. Friend talked about waiting lists. Would he confirm that at the moment approximately 5.6 ...

My hon. Friend makes an important point. This Secretary of State must be the first in the history...

I have listened carefully to the hon. Member’s comments about waiting times in England and the me...

There is a danger that the right hon. Gentleman has missed the point. The reality is that for a d...

While an energy drink carries not only calorific information but a health warning that drinking t...

I am grateful to the hon. Gentleman for that intervention. I completely agree with him. I would b...

My hon. Friend will know that two thirds of people in Britain are overweight and that one in four...

My hon. Friend will be delighted to hear that I will be coming on to the modesty of the Governmen...

The hon. Gentleman is absolutely right in what he is saying. I am a type 2 diabetic and I am well...

I think that a solution might be a little from column A and a little from column B, but I am grat...

I thank the shadow Minister, who is making an excellent argument, and colleagues across the House...

Yes, I agree. I look with real sadness at the loss of exercise-on-prescription schemes that were ...

I am grateful to the hon. Gentleman for mentioning my new clause. We have a number of issues pote...

The hon. Gentleman tempts me, but my problem is that I want to know that the conversations have t...

It is a great pleasure to follow the hon. Member for Nottingham North (Alex Norris). I will speak...

I am grateful to the hon. Gentleman because that has saved me from having to put a disclaimer at ...

I am grateful to the hon. Lady for making her point clear.

As the hon. Lady and other hon. ...

The number of diabetics, both type 1 and type 2, across the United Kingdom and the number of chil...

I absolutely do not agree. The reason why the Opposition Front-Bench team are probing on this is ...

I thank the hon. Member for North East Bedfordshire (Richard Fuller) for clarifying that I had no...

I heartily commend the hon. Lady for her comments. Does she experience in her constituency, as I ...

I agree that new clause 6 is the most important of the new clauses, because tobacco companies are...

Obviously, as the chairman of the all-party parliamentary group on alcohol harm, I know that part...

I would say that really no one who has a health problem should be stigmatised. Having dealt over ...

I commend the work of my hon. Friend the Member for Liverpool, Walton (Dan Carden) in this regard...

There is no question but that, after public health moved into local government—we can absolutely ...

I am grateful to the hon. Lady for mentioning new clause 30, which I still hope against hope we m...

That is the policy of the Scottish Government, and we would absolutely support the new clause if ...

It is a pleasure to follow the hon. Member for Central Ayrshire (Dr Whitford), who brings her kno...

The hon. Gentleman refers to public health funding since 2015, but is he aware that in 2015, it w...

Clearly, if we invest in public health and smoking cessation, we prevent costs in the health serv...

I am following my hon. Friend’s argument closely. Does he agree that there is an interrelationshi...

I thank my right hon. and learned Friend for raising that point. Clearly, the fact that people ca...

It is a great pleasure to follow the hon. Member for Harrow East (Bob Blackman), who gave an eloq...

I call Christian Wakeford. Do you wish to remain seated?

That is greatly appreciated, Mr Deputy Speaker.

I would like to put on record my support fo...

I rise to support the amendments in my name: 110, 111, 112 and 113. I draw the attention of the H...

I am grateful for this evening’s debate. More than once during the passage of the Bill, I have pu...

The Minister is being generous in allowing interventions. Is the Bill silent on the challenge aro...

I am grateful to the hon. Lady, with whom I worked in London local government many moons ago on i...

Does the Minister agree that the industry itself is doing an awful lot now to support the Governm...

I wondered what I was about to have bowled at me there, but my hon. Friend is absolutely right. I...

The Minister has just mentioned seatbelts, and earlier he talked about alcohol and cigarette smok...

I know my hon. Friend well and entirely understand the perspective that he brings, but I would ar...

Will the Minister give way?

May I make a little more progress? I have more to say on obesity, so my right hon. Friend should ...

I happen to agree that there is a question of proportionality on the alleged nanny state issues, ...

I take my right hon. Friend’s point, but I would argue that we are placing the matter before the ...

Would the Minister be as surprised as I was to know that quite a lot of Members of this House are...

All I would say—without in any way implying any criticism of right hon. or hon. Members—is that s...

It was my hon. Friend the Member for North East Bedfordshire who inspired my intervention. I just...

I am grateful to my right hon. Friend. It has been a while since he intervened while I was at the...

Does the Minister accept that there is a significant inconsistency between the approach to televi...

I hope I can reassure my right hon. Friend, and other Members, that I always seek to maintain an ...

I am grateful to the Minister for that commitment to consider the points in my amendments, and wi...

I am grateful for my hon. Friend’s confirmation that he does not intend to press his amendments t...

On the point about an industry-led alternative, on which the Minister has kindly made some commen...

I am certainly happy to commit that either I, as the Bill Minister, or the relevant policy Minist...

I reiterate the comment I made earlier that the best way to treat alcohol addiction and dependenc...

I am grateful to my hon. Friend. He will know that this Government have continued not only to hig...

Will the Minister give way?

I fear that I have only a few minutes left, and I have already taken a number of interventions on...

rose—

Forgive me; I only have a few minutes and I want to cover the amendments from the hon. Member for...

Will the Minister give way?

I am afraid I will not. I suspect that point will be pertinent to the debate on the first group o...

I have listened carefully to the debate, and I beg to ask leave to withdraw the clause.

Cla...

I beg to move, That the clause be read a Second time.

With this it will be convenient to discuss the following:

New clause 33—Support provided by...

New clause 49 has attracted a slightly fuller House than my previous speech did. This additional ...

I am grateful to the Minister for giving way so early in his speech. I am glad to hear him assert...

My right hon. Friend has long taken a close interest in this issue. In a moment, I will come to s...

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rose—

I will make a little progress and then give way to my hon. Friend the Member for Basildon and Bil...

The Government deserve credit for grasping this nettle, which has evaded Governments of both part...

I understand where my hon. Friend and Members from both sides of the House are coming from. This ...

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I would like to make a little progress, if I may.

The reforms will make the existing means ...

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rose—

We have considered what help people want and when they want it.

rose—

My right hon. Friend rose earlier and I should have taken his intervention then; I hope he will f...

I am grateful to the Minister. Will he confirm that the amount of tax that is going to be raised ...

My right hon. Friend is right to highlight that this is talking about personal care costs, so he ...

The Minister did indeed. He is being very generous in giving way. A lot of research went into the...

While the hon. Lady and I do not always agree on everything, she asks a perfectly a reasoned and ...

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rose—

If the shadow Secretary of State will forgive me, the hon. Lady has attempted on a number of occa...

On the point the Minister is making about the Dilnot proposals and a comparison, let me tell him ...

I am grateful to the hon. Lady. I do not think that she posed a question, but she made her point ...

rose—

rose—

If I may make a little progress, I will then give way to my former boss, the former Secretary of ...

Will the Minister give way?

Before I give way to the right hon. Gentleman, I will give way to the former Secretary of State.<...

Is not the right way to think about this change to consider the proposal in front of us and compa...

I am grateful to the former Secretary of State. He is absolutely right. We deal in the reality an...

Can my hon. Friend help me on two short matters? Can he give us an assurance that there will be n...

Yes, of course, as we move through this reform process, it is absolutely right and vital that we ...

I am extremely grateful to the Minister. He is showing his typical courtesy in giving way. Many a...

I am grateful to the shadow Secretary of State who, while I do not necessarily agree with what he...

Will the Minister give way?

I am afraid that I will not give way because I do need to make some progress.

Will the Minister give way on that point?

I have been very generous with my time and to the shadow Front Bench, so forgive me, but no.

On that point, will the Minister please give way? Six weeks in Committee and not a mention.

Forgive me, but no.

To reiterate, as my right hon. Friend the Prime Minister said on 7 Sept...

Will the Minister give way?

I will not give way. I want to make some more progress.

Will my hon. Friend give way?

I want to make a little more progress. I will not give way to one of my hon. Friends or to the ho...

I am extremely grateful to my hon. Friend for giving way. Before we leave the subject of the cap,...

My right hon. Friend is exactly right. I am grateful to him for giving me an opportunity to highl...

Will the Minister give way. We have had six weeks in Committee.

The hon. Lady implores me, saying that after six weeks of having to sit opposite me in Committee,...

Several times in that Committee, I offered to help the Government in a cross-party way. The Minis...

I did wonder whether I would regret that intervention. It was typically courteous, although I hav...

Does the Minister agree that we have been on a journey? The context of this needs to be considere...

I am grateful to my hon. Friend, a member of the Health and Social Care Committee, for his interv...

Will the Minister give way?

I have already given way to the hon. Lady, so I will not do so again.

I thank the hon. Memb...

Will the Minister give way?

I have given way a number of times and I want to make some progress. I will be winding up the deb...

Will the Minister give way?

I am afraid that I will not give way now.

For Leicestershire!

I did give way to the right hon. Gentleman, the shadow Secretary of State, and he is my other con...

May I take the Minister back to new clause 49, very briefly? He is right to point out that some m...

I simply take my hon. Friend back to my previous point: when compared to the current system, this...

Will the Minister give way?

I would like to move on to ICBs and ICSs, but I suspect that, assuming there is time, my right ho...

Will the Minister give way?

On ICBs, which I have moved on to, but not on new clause 49.

Is the Minister absolutely sure about what he said in response to the hon. Member for Thirsk and ...

I make the point to the hon. Lady that I made in my opening remarks; I said that no one would be ...

Will the Minister give way?

On ICBs, but not on new clause 49. We have moved on and I need to make some progress, because I k...

I thank the Minister for giving way; he has been very generous with his time. Does he agree that ...

Local authorities will have a seat on ICBs and on ICPs. The approach set out in the legislation i...

Will the Minister give way on ICBs?

May I make a little bit of progress? Depending on time, I may then give way to my right hon. Frie...

Will the Minister give us a brief comment on the recruitment of chief executives and senior manag...

I think my right hon. Friend is talking about executive posts. Yes, there will be processes in pl...

rose—

I will give way to my right hon. Friend.

I am not a right hon. Member, but I am very happy to take the promotion.

I have tabled a nu...

I take my hon. Friend’s amendments in the spirit in which they are of course intended. I recognis...

I draw the House’s attention to my declaration in the Register of Members’ Financial Interests as...

I am grateful to my hon. Friend, who knows of what he speaks in terms of the operation of healthc...

Will the Minister give way?

I would like to make a little progress and then I will give way to the hon. Gentleman, who has be...

I support what my hon. Friend is saying. It would be crazy to exclude primary care because it is ...

My right hon. Friend makes a point that came out in some of the oral evidence sessions on the Bil...

We have GP practices that are being privatised now—they are being bought up by private companies,...

I entirely understand the point the hon. Gentleman is making. I think he was careful, shall we sa...

rose—

I am afraid I am about to conclude. I suspect that the hon. Gentleman will come back in with a sp...

A wide range of issues that are part of this group of amendments demonstrate the cold reality of ...

Perhaps my hon. Friend can illuminate me. I was going to ask the Minister who owns the assets of ...

At the moment, ICBs are not a legal entity, so they do not own anything. When the Bill comes into...

Does my hon. Friend agree that it is Robin Hood in reverse? I encourage Conservative Members who ...

My hon. Friend must have sneaked a look at my speech, because I will say later that it is Robin H...

The proposal is grossly unfair. I gave the example earlier that in our region, 15% of people with...

Again, my hon. Friend must have read my speech because I will make that point later. The proposal...

My hon. Friend and neighbour is making an excellent speech. We should be talking about a plan for...

I thank my hon. Friend and neighbour—I am getting all my neighbours in tonight. She makes a brill...

My hon. Friend referenced the Prime Minister’s statement that nobody would have to sell their hou...

I thank my hon. Friend for his intervention—I think. What I can say here and what I might say out...

Order. It will be obvious to Members that a large number of colleagues want to contribute to the ...

Madam Deputy Speaker, I think on this occasion I can oblige you, because I will be very brief. I ...

rose—

I see the Minister wants me to give way. May I make my argument for one moment, and then give way...

I pay tribute to my right hon. Friend for what he did as Secretary of State to stress the importa...

Before I come to the Minister, I want to say—and I am very grateful to my right hon. Friend the M...

I am grateful to my right hon. Friend. It is not just my right hon. Friend the Member for Wokingh...

I am most grateful to my hon. Friend, and I am also grateful to the Opposition, who have indicate...

Now that that one is sorted, would my right hon. Friend offer the House his views on new clause 4...

I am happy to do that, because I know my hon. Friend has a great interest in social care issues. ...

I initially want to touch on new clause 49. Like other members of the Bill Committee, I sat throu...

I thank the Minister for the time he gave me to consider my amendments, which we discussed in som...

We like it!

Then I would like to see you wishing to press it to a vote and putting your vote—and your feet—wh...

I declare an interest in that my partner is a clinical research nurse—working in cardiac research...

I thank the hon. Gentleman. He is absolutely right. If we could have this new system, so there wa...

The Bill opens the NHS up to big business, allowing private companies a say in the care that pati...

Does my hon. Friend agree that the Bill has the sense of being an NHS corporate takeover Bill? We...

I thank my right hon. Friend for putting the case so clearly. She hits the nail absolutely on the...

I support new clause 49 because I support the action that is needed to make reforms to social car...

Order. We will not get anywhere if people shout. This is supposed to be a reasonable discussion.<...

Thank you, Madam Deputy Speaker.

A further point that is being ignored by those who are try...

I am sorry to be unhelpful to my right hon. Friend, but if this element is so integral to the ove...

This part of the package was described in September, because it was made clear in September that ...

I do not think anyone across the House would argue that the measures that have been put forward a...

I will happily comment on that. In the debate over the past few days, many people have been compa...

Order. It will be obvious to the House that a lot of people wish to speak and that there are a lo...

My amendments 1 and 2 primarily relate to self-care. I acknowledge that self-care is recognised b...

I rise to speak on new clause 49. For 40 years, successive Governments have tried desperately to ...

I would like to start by talking about social care. The Liberal Democrats have long called for re...

I listened carefully to my hon. Friend the Minister for Health earlier as he introduced new claus...

I am grateful to my right hon. Friend for the case she is making. I should also put on the record...

I thank the Minister for his acceptance of my amendment. Many people in all parts of the House wi...

I rise to speak against the Bill overall but in favour of new clauses 56 and 57, tabled in my nam...

I caught your eye half a minute ago, Madam Deputy Speaker, and you indicated to me with that look...

I came to this place largely on the back of the disastrous Lansley Act, and I am pleased to see i...

I draw the attention of the House to my entry in the Register of Members’ Financial Interests in ...

I am going to reduce the time limit to three minutes in the hope that as many people as possible ...

The Health and Care Bill is deeply problematic. I want to focus on two issues that, when combined...

I draw the House’s attention to my declaration in the Register of Members’ Financial Interests as...

We are not seeking to wage war on GPs; we want to support GPs and properly resource them. We see ...

I rise to speak to new clause 49. In doing so, and whatever its merits or otherwise, it is worth ...

The right hon. Gentleman gets to the heart of the matter, which is what people will get, compared...

I think the heart of the matter is that we have to be clear and wide-eyed about what this change ...

I want to speak briefly to amendment 15, which focuses on the membership of integrated care partn...

There is much to be positive about in relation to the recent history of the national health servi...

Members will appreciate that I have had to give precedence to people who have amendments in their...

In the interests of time, I will just speak to my amendment 99 and new clause 57 tabled by my hon...

This Bill can really help support giving every baby the best start for life.

First, new cla...

I was not expecting to be called, Madam Deputy Speaker, but here we are. I want to tell a little ...

I am conscious of time, Madam Deputy Speaker, so I will try to cover some of the main themes that...

Will the Minister give way?

Will the Minister give way?

I am afraid I will not, because I have only a couple of minutes in which to try to address these ...

Will the Minister give way?

I am afraid I will not, because I literally have only one minute, and I did give way multiple tim...

Amendment 102 has been selected for separate decision. I call Mrs Maria Miller to move the amendm...

There is great excitement on the other side of the House, but there is no doubt about the procedu...