NHS reorganisation. Thirteenth opposition day debate (part 2). Motion negatived on division (216 to 291). Amendment agreed on question.
NHS Reorganisation
Opposition day on Tuesday, 7 February 2006,
in the House of Commons,
led by Stephen O'Brien.
The answering
member was Jane Kennedy.
Type
Parliamentary proceeding
Reference
442 c792-849 
Session
2005-06
Chamber / Committee
House of Commons chamber
Changes to primary care trusts. Health Select Committee second report with proceedings, evidence (HC 646 i-ii not printed separately) and appendices.
Thursday, 15 December 2005
Parliamentary committees
House of Commons
Thursday, 15 December 2005
Parliamentary committees
House of Commons
Proceeding contributions
Speaker | 442 c813 (Link to this contribution)
Order. I remind right hon. and hon. Members that Mr. Speaker has imposed a 10-minute limit on Back-B...
Stephen O'Brien | 442 c799-800 (Link to this contribution)
I fully accept that my hon. Friend and his constituents are, rightly, deeply concerned. I shall deal...
Show all contributions (143)
Michael Fabricant | 442 c800 (Link to this contribution)
That is right.
Stephen O'Brien | 442 c800 (Link to this contribution)
I note what my hon. Friend says. When he met the Secretary of State for Health, she assured him and ...
Lord Boswell of Aynho | 442 c798-9 (Link to this contribution)
Will my hon. Friend consider the Two Shires ambulance trust, shared between Northamptonshire and Buc...
Stephen O'Brien | 442 c799 (Link to this contribution)
I am grateful for the example that my hon. Friend outlines. He will derive great comfort from the fa...
William Cash | 442 c799 (Link to this contribution)
Will my hon. Friend give way?
Stephen O'Brien | 442 c799 (Link to this contribution)
I am about to mention Staffordshire, so my hon. Friend might want to hold on.
The ambulance tsar, P...
William Cash | 442 c799 (Link to this contribution)
My hon. Friend may know that Staffordshire ambulance trust is regarded as one of the best in the cou...
John Redwood | 442 c802 (Link to this contribution)
Can the Minister tell us how much the Department has spent in the past year on management consultant...
Jane Kennedy | 442 c802-3 (Link to this contribution)
A tiny proportion of the amount that we spend on administration in the NHS is spent on consultants. ...
John Redwood | 442 c802 (Link to this contribution)
: Will the Minister give way?
Jane Kennedy | 442 c802 (Link to this contribution)
I want to finish my comments about the motion.
In our manifesto, we said that by removing £250 mill...
Stephen O'Brien | 442 c800-1 (Link to this contribution)
I will not give way, because I am about to end my speech.
In their addiction to meddling, the Gover...
Lord Soames of Fletching | 442 c802 (Link to this contribution)
The Minister and I will agree that in the past five years the NHS budget has indeed increased substa...
Jane Kennedy | 442 c802 (Link to this contribution)
It is a pleasure to see the hon. Gentleman restored to us in good health. When he is not here, the H...
Graham Stuart | 442 c801 (Link to this contribution)
Will the Minister give way?
Jane Kennedy | 442 c801-2 (Link to this contribution)
I should like a moment to get into my speech, I will give way later, but I am very conscious of the ...
Jane Kennedy | 442 c803-4 (Link to this contribution)
I will make some progress, if I may.
I know that the reconfiguration of strategic health authoritie...
Jane Kennedy | 442 c804 (Link to this contribution)
May I make a little progress and then I will be happy to give way to the hon. Member for Bournemouth...
David Leslie Taylor | 442 c803 (Link to this contribution)
The House would agree that there is probably no magic number in relation to the size of population t...
Jane Kennedy | 442 c803 (Link to this contribution)
My hon. Friend makes a strong point about the concerns in his area. I will come on to those question...
Jim Cunningham | 442 c803 (Link to this contribution)
Surely the answer to the Tory criticisms is that we do not hear so much now about people on trolleys...
Jane Kennedy | 442 c803 (Link to this contribution)
I am grateful to my hon. Friend for his comments. His analysis is right.
Jane Kennedy | 442 c803 (Link to this contribution)
I am spoilt for choice. May I make one more point on the James review, and then I will give way?
Th...
Jane Kennedy | 442 c804 (Link to this contribution)
I give way to the right hon. and learned Member for Rushcliffe (Mr. Clarke).
John Butterfill | 442 c804 (Link to this contribution)
The Minister has been very generous in giving way. She may remember that Bournemouth used to be part...
Jane Kennedy | 442 c804 (Link to this contribution)
It is not being driven by regional policy; it is entirely being driven by efficient administration o...
Jane Kennedy | 442 c804 (Link to this contribution)
I give way to the hon. Member for Bournemouth, West.
Speaker | 442 c792 (Link to this contribution)
We now come to the second Opposition motion debate, on the reorganisation of primary care trusts, st...
Stephen O'Brien | 442 c792-3 (Link to this contribution)
I beg to move,"That this House believes the structures of the NHS should serve the needs of the serv...
John Redwood | 442 c793 (Link to this contribution)
My hon. Friend is making a strong case. Is there not a danger that the amalgamation of these trusts ...
Stephen O'Brien | 442 c797 (Link to this contribution)
I am conscious of the need to get to the end of my remarks to allow more Members to speak. If my hon...
David Howarth | 442 c797 (Link to this contribution)
Unlike the hon. Member for Wolverhampton, South-West (Rob Marris), I welcome the motion’s proposal t...
Philip Hollobone | 442 c795 (Link to this contribution)
Is my hon. Friend aware that the chief executive of the Northamptonshire Heartlands primary care tru...
Eric Martlew | 442 c796 (Link to this contribution)
I remember that the Conservatives fought the election saying that they would introduce £35 billion o...
Mark Harper | 442 c796 (Link to this contribution)
My hon. Friend is right. Today, the Gloucestershire health community issued a press release and the ...
Graham Stuart | 442 c797 (Link to this contribution)
Will my hon. Friend give way?
Stephen O'Brien | 442 c797 (Link to this contribution)
I am grateful to my hon. Friend, who is working hard for his constituents. He recognises that there ...
Rob Marris | 442 c794 (Link to this contribution)
I understand the hon. Gentleman’s point about reorganisation in the NHS, but will he explain why the...
Stephen O'Brien | 442 c794-5 (Link to this contribution)
I have some respect for the hon. Gentleman’s normal analysis, but he must recognise not only that we...
Gwyneth Dunwoody | 442 c793 (Link to this contribution)
I am grateful to the hon. Gentleman. Am I to take it from his remarks that he does not believe in an...
Stephen O'Brien | 442 c793-4 (Link to this contribution)
I hope to mention the hon. Lady in dispatches later in my speech. I am intrigued by her question, be...
Stephen O'Brien | 442 c793 (Link to this contribution)
I am sure that the Scottish Executive would very much like to debate that matter, but this House has...
Jim Devine | 442 c793 (Link to this contribution)
When the Conservatives were in power, we had 47 trusts in the Scottish health service. Under the Sco...
Stephen O'Brien | 442 c793 (Link to this contribution)
Of course I will give way to my neighbour.
Gwyneth Dunwoody | 442 c793 (Link to this contribution)
Will the hon. Gentleman give way?
Stephen O'Brien | 442 c793 (Link to this contribution)
My right hon. Friend is right. Roll on the time when we are in Government and can introduce English ...
Lord Deben | 442 c793 (Link to this contribution)
Although we have no control over the Scottish Executive, the hon. Member for Livingston (Mr. Devine)...
Jane Kennedy | 442 c805 (Link to this contribution)
The hon. Gentleman must contain himself. I will give way in a moment.
I agree with what the hon. Me...
Jane Kennedy | 442 c805 (Link to this contribution)
The hon. Gentleman’s persistence has paid off to the extent that I will undertake to look into the m...
David Heath | 442 c805 (Link to this contribution)
I am most grateful to the right hon. Lady. I simply want to speak for my local hospital. For eight y...
Gwyneth Dunwoody | 442 c806 (Link to this contribution)
: My right hon. Friend is a lady of tact and intelligence and she must know that that, frankly, is a...
Jane Kennedy | 442 c806 (Link to this contribution)
I now wish to make some progress because I am conscious of the time, and I know that many Back Bench...
Andrew Turner | 442 c806 (Link to this contribution)
I am particularly grateful to the Minister for giving way because I wanted to congratulate her on re...
Jane Kennedy | 442 c806 (Link to this contribution)
I am sorry that my hon. Friend, whom I regard as a very dear friend, takes such a strong opposite vi...
Lord Wills | 442 c807 (Link to this contribution)
I congratulate my right hon. Friend on what she has said so far. Does she agree that the reconfigura...
Jane Kennedy | 442 c806-7 (Link to this contribution)
That is an interesting point. The difficulties of transport from the Isle if Wight would need to be ...
Jane Kennedy | 442 c807 (Link to this contribution)
I am grateful to my hon. Friend, and I agree with him.
As with PCTs, there are clear and compelling...
Mark Pritchard | 442 c807 (Link to this contribution)
I note the Minister’s comments on ambulances, but might I bring her back to superbugs? Is she aware ...
Jane Kennedy | 442 c808 (Link to this contribution)
The hon. Lady argues strongly that we should listen to local people. I understand that the county co...
Baroness Laing of Elderslie | 442 c808 (Link to this contribution)
On that very point, will the Minister undertake to listen genuinely to the case being made by some l...
Jane Kennedy | 442 c808 (Link to this contribution)
My hon. Friend has made a sustained and consistent case for the ambulance trust that she knows so we...
Charlotte Atkins | 442 c807-8 (Link to this contribution)
: Will my right hon. Friend ensure that the hon. Member for Eddisbury (Mr. O’Brien) understands that...
Jane Kennedy | 442 c809 (Link to this contribution)
These changes will enable organisations to work together more effectively to tackle priorities such ...
Jane Kennedy | 442 c809 (Link to this contribution)
Obviously, there are one or two of my hon. Friends whom we need to work more closely with to persuad...
Brian Jenkins | 442 c808-9 (Link to this contribution)
I have listened with interest to what my hon. Friend has to say, and I ask her please not to take an...
Lord Lansley | 442 c809-10 (Link to this contribution)
Does the Minister recall that Peter Bradley’s report said that the number of ambulance trusts should...
Bob Blizzard | 442 c813-4 (Link to this contribution)
I suspect that most hon. Members will want to speak tonight about the reorganisation of the primary ...
Lord Deben | 442 c814 (Link to this contribution)
Does my constituency neighbour agree that it is a remarkable fact that the other part of Waveney cov...
Julia Goldsworthy | 442 c810-1 (Link to this contribution)
I am sure that today’s Conservative Opposition day debate will give some flavour of the rapid struct...
Jane Kennedy | 442 c810 (Link to this contribution)
The point that the hon. Gentleman makes is not really very valuable. Benefits will flow from working...
Julia Goldsworthy | 442 c811-3 (Link to this contribution)
I thank my hon. Friend for that contribution, and that is certainly the feedback that I am getting f...
David Heath | 442 c811 (Link to this contribution)
Does my hon. Friend agree, given her experience in her own area, that PCTs had a difficult task in d...
Shailesh Vara | 442 c818 (Link to this contribution)
My right hon. Friend says that the consultation process is a sham. Huntingdonshire PCT has already b...
Lord Deben | 442 c818 (Link to this contribution)
I cannot speak about Huntingdonshire, but it is clearly a sham when we always have the same answers....
Bob Blizzard | 442 c814-6 (Link to this contribution)
When the right hon. Gentleman and I, and every strand of clinical opinion in our area, are in agreem...
Lord Deben | 442 c816-8 (Link to this contribution)
I entirely agree with what the hon. Member for Waveney (Mr. Blizzard) said, and commend him for it. ...
Bob Spink | 442 c821 (Link to this contribution)
While the hon. Gentleman is talking about massive changes due to reform, is he aware that Essex stra...
Paul Truswell | 442 c820 (Link to this contribution)
Does my hon. Friend agree that Conservative Members have a brass neck when it comes to talking about...
Lord Deben | 442 c818-20 (Link to this contribution)
I agree with what my hon. Friend said during the rest of his speech as well, which was that we shoul...
Lord Wills | 442 c818 (Link to this contribution)
I want to clarify something about ambulance trusts. Earlier, the hon. Member for Eddisbury (Mr. O’Br...
Jane Kennedy | 442 c805 (Link to this contribution)
I agree with a significant part of what the right hon. and learned Gentleman said. If I can get to i...
Lord Clarke of Nottingham | 442 c804-5 (Link to this contribution)
May I first say that I agree with the Minister that there are too many of these administrative bodie...
Liam Byrne | 442 c844 (Link to this contribution)
The hon. Gentleman has the opportunity to say that his party’s fiscal rule that the proceeds of econ...
Liam Byrne | 442 c844 (Link to this contribution)
Turning to—[Interruption.]
Speaker | 442 c844 (Link to this contribution)
Order. I am must be allowed to hear the Minister. I have to hear what he is going to say.
Liam Byrne | 442 c844-5 (Link to this contribution)
Turning to the west midlands, the hon. Member for Lichfield (Michael Fabricant) made a powerful and ...
Julia Goldsworthy | 442 c845 (Link to this contribution)
Will the hon. Gentleman give way?
Liam Byrne | 442 c845 (Link to this contribution)
No, I must address the remarks made by Conservative Members.
We did not hear too much—
Julia Goldsworthy | 442 c845 (Link to this contribution)
Will the hon. Gentleman give way?
Liam Byrne | 442 c845 (Link to this contribution)
No, I will not give way, because I have a bit more to finish.
We did not hear too much about the Co...
Lord McLoughlin | 442 c845-6 (Link to this contribution)
(West Derbyshire) rose in his place and claimed to move, That the Question be now put.
Question, Th...
Nadine Dorries | 442 c838-9 (Link to this contribution)
The Minister of State, the right hon. Member for Liverpool, Wavertree (Jane Kennedy) and I both come...
Keith Vaz | 442 c837-8 (Link to this contribution)
I accept that point, and that is why I want the centre to stay at Goodwood—near the general hospital...
Robert Flello | 442 c837 (Link to this contribution)
Does my hon. Friend accept that one of the successes of the Staffordshire ambulance service is that ...
Keith Vaz | 442 c837 (Link to this contribution)
I agree that such matters need to be put out to consultation, but as I have not stood as a European ...
Nicholas Winterton | 442 c836-7 (Link to this contribution)
On PCTs, does the hon. Gentleman not think it very unfortunate that the authorities have put forward...
Keith Vaz | 442 c836 (Link to this contribution)
There are grave concerns about the proposals. I do not know the situation in Guildford and that part...
Anne Milton | 442 c836 (Link to this contribution)
I thank the hon. Gentleman for giving way, and I should declare an interest, in that my husband work...
Keith Vaz | 442 c835-6 (Link to this contribution)
It is a pleasure to follow the hon. Member for Wyre Forest (Dr. Taylor), who owes his parliamentary ...
Richard Taylor | 442 c833-5 (Link to this contribution)
I am grateful to have been called because I feel very deeply about the issue.
The Government freque...
Robert Flello | 442 c832-3 (Link to this contribution)
The clock ticks ever faster, but I am sure that those comments have been heard.
Today the Staffords...
Liam Byrne | 442 c844 (Link to this contribution)
I shall address the hon. Lady’s remarks directly in a moment, if she will have a little patience.
M...
Liam Byrne | 442 c842-3 (Link to this contribution)
Our debate this evening has been very good if, in places, a little less consensual than the debate e...
Julia Goldsworthy | 442 c844 (Link to this contribution)
Will the Minister give way?
Liam Byrne | 442 c843-4 (Link to this contribution)
I know that the Conservative party is firmly fixed in listening mode at the moment, so if the hon. G...
Brooks Newmark | 442 c839 (Link to this contribution)
May I draw my hon. Friend’s attention to the situation in my constituency? For more than 10 years lo...
Nadine Dorries | 442 c839 (Link to this contribution)
That is highlighted by the cuts detailed in the e-mail; they are all from front-line services and wi...
Andrew Murrison | 442 c839-42 (Link to this contribution)
I have been in and around the national health service since 1979. It has been a quarter of a century...
Nadine Dorries | 442 c839 (Link to this contribution)
Certainly. Front-line services are paramount. Structures seem to concern the Government, but I ask t...
Anne Milton | 442 c839 (Link to this contribution)
Does my hon. Friend agree that the reforms seem to be less to do with patient care and a patient-cen...
Robert Flello | 442 c831 (Link to this contribution)
I am grateful for that intervention, as it brings me to the point made by the hon. Member for Falmou...
Julia Goldsworthy | 442 c831 (Link to this contribution)
Will the hon. Gentleman therefore list any primary care trusts that will either get smaller or stay ...
Robert Flello | 442 c831-2 (Link to this contribution)
I would love to have the data to hand to be able to give the answer to that question. The hon. Lady’...
Lord Jackson of Peterborough | 442 c832 (Link to this contribution)
I am listening intently to the hon. Gentleman’s eloquent speech expressing his sincerely held belief...
Grant Shapps | 442 c831 (Link to this contribution)
Will the hon. Gentleman tell us how expanding a PCT or an SHA to cover a much wider region would mak...
Robert Flello | 442 c830-1 (Link to this contribution)
I am grateful to the hon. Gentleman for that interesting intervention. The revenues from North sea o...
Rosie Cooper | 442 c831 (Link to this contribution)
Widening SHA areas to a regional authority area would resolve some serious anomalies. In my area of ...
Robert Flello | 442 c831 (Link to this contribution)
No, I think that the opposite is the case. In north Staffordshire at the moment, there are about a d...
Lord Jackson of Peterborough | 442 c830 (Link to this contribution)
Does the hon. Gentleman acknowledge that between 1979 and 1997, there was a 64 per cent. real-terms ...
Robert Flello | 442 c829-30 (Link to this contribution)
I shall deal in turn with the issues of PCTs, SHAs and the ambulance service, but I want to begin wi...
Lord Risby | 442 c827-9 (Link to this contribution)
I echo the sentiments that were ably expressed by my hon. Friend the Member for Eddisbury (Mr. O’Bri...
Michael Fabricant | 442 c823-4 (Link to this contribution)
The hon. Gentleman is absolutely right. In fact, the service’s use of those drugs is beyond the norm...
Paul Farrelly | 442 c824-7 (Link to this contribution)
After listening to the two opening Opposition Back-Bench speeches—that of the right hon. Member for ...
Michael Fabricant | 442 c823 (Link to this contribution)
I will give way to a fellow Staffordshire Member of Parliament.
Robert Flello | 442 c823 (Link to this contribution)
Will the hon. Gentleman mention also that, of all the ambulance services, Staffordshire probably use...
Robert Flello | 442 c823 (Link to this contribution)
Will the hon. Gentleman give way?
Eric Martlew | 442 c821-2 (Link to this contribution)
My hon. Friend is right.
I said at the time that it was nonsense to create three PCTs in the area o...
Eric Martlew | 442 c821 (Link to this contribution)
The hon. Gentleman wanted to get that in. I have got to know him well over the years and suggest tha...
Lord Lansley | 442 c843 (Link to this contribution)
Will the hon. Gentleman give way?
Stephen O'Brien | 442 c793 (Link to this contribution)
My right hon. Friend is correct. There is always a transfer cost associated with any such move, but ...
Michael Fabricant | 442 c822-3 (Link to this contribution)
The hon. Member for Tamworth (Mr. Jenkins) said that he has no objection to his PCTs merging, as lon...
Jane Kennedy | 442 c809 (Link to this contribution)
I happily give way to the hon. Gentleman.
Eric Martlew | 442 c820 (Link to this contribution)
I remember that well. My only caveat is that the biggest employer in my constituency is a biscuit fa...
Eric Martlew | 442 c820 (Link to this contribution)
I did not really take seriously what the right hon. Member for Suffolk, Coastal (Mr. Gummer) said. I...
Stephen O'Brien | 442 c797-8 (Link to this contribution)
I am glad to hear that the hon. Gentleman has come to our view. He is correct that SHAs have lost al...
Stephen O'Brien | 442 c796 (Link to this contribution)
Apart from the fact that the Government are clearly attempting to fulfil their own manifesto promise...
Keith Vaz | 442 c821 (Link to this contribution)
The hon. Lady said, ““Dog’s breakfast.””
Jane Kennedy | 442 c801 (Link to this contribution)
I beg to move, To leave out from ““House”” to the end of the Question, and to add instead thereof:"“...
Stephen O'Brien | 442 c795-6 (Link to this contribution)
I gather that wards are also being closed in Northamptonshire. That situation is replicated right ac...
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