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18 Mar 2009 : Column 902

Mr. Cameron: I am glad that the Prime Minister is back to reading out quotations, because we now know how long a pledge from him lasts. Yesterday, he said in The Guardian:

What a complete phoney! [ Interruption. ]

Mr. Speaker: Order. Let me chair the proceedings. That remark should be withdrawn— [ Interruption. ] Order. I will do the talking. It should be properly withdrawn.

Mr. Cameron: I am happy to withdraw that remark.

The Prime Minister mentioned the Germans. Of course, they went into the recession with a surplus, not a deficit. That is why the German Finance Minister said that the VAT cut, which we opposed, will build up debt that will take a generation to pay off.

Let us be clear about what has happened today. This Government have announced the biggest rise in the dole queue since records began. That is a rise faster than under any Conservative Government or any previous Labour Government. Is it not the case that the Prime Minister has led us to this point without a hint of an apology, and the British people will never forget it?

The Prime Minister: First of all, quoting German Finance Ministers in the week when the Conservatives are walking away from the mainstream of European politics is absolutely absurd. Secondly, we are prepared to spend money to help the unemployed; we are not going to walk by on the other side, we are going to help them. However, when it comes to the Conservatives’ main proposal for spending money, let us be absolutely clear that we are spending money to help the unemployed whereas the Conservatives’ first priority is an inheritance tax cut for the 3,000 top estates in the country.

What further indication do we need of Conservative priorities than the fact that the motion for today’s debate on the economy does not even mention the word “unemployment”? That is how they feel. They are the party of the few; we are the party of the many.

Mr. Fraser Kemp (Houghton and Washington, East) (Lab): Six months ago today, a constituent of mine, Claire Walker, died of cervical cancer. She was 23 years of age. Will the Prime Minister join me and Claire’s family, friends and supporters who are campaigning in London today in wholeheartedly welcoming last Friday’s announcement that there will be a full, independent and comprehensive review to consider the urgent case for the reintroduction of cervical cancer screening for young women under 25?

The Prime Minister: I appreciate everything that my hon. Friend said. Any family that is suffering because of cervical cancer—or, indeed, because of any form of cancer—has all our sympathies. We want to do everything we can to help, which is why we have introduced the vaccinations for teenagers—we have extended that programme and are ready to extend it further—and why the independent review that he mentioned will consider the case for making cervical cancer screening available to women under 25. It is our responsibility to look at all the available medical evidence about the risks as well as about the advantages of such screening. That will be done and I assure him that we take seriously the needs of anyone who is facing cancer at this time.

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Mr. Nick Clegg (Sheffield, Hallam) (LD): I would like to add my own expressions of sympathy and condolence to the family and friends of the three soldiers who tragically lost their lives in Afghanistan in the last week. With the death toll among our brave servicemen and women now at more than 150, it is right that we should pause to reflect on the immense sacrifice that they and their families have had to endure in serving this country and, of course, the people of Afghanistan.

Does the Prime Minister believe that the culture of frenzied target setting that has been introduced into the NHS by his Government had any role to play whatsoever in the horrific events that occurred at Stafford general hospital?

The Prime Minister: May I and the Health Secretary first say that we apologise to those people who have suffered as a result of the mistakes that have been made at Stafford hospital? Everybody who uses the national health service has a right, if they put their faith in the NHS at that hospital, to expect the highest standards of treatment. These were not the highest standards of treatment. They have now been investigated, and they fell far short of the standards that people expect. The first thing that we have to do is to assure the families of those who have suffered and relatives who are grieving and who want answers to their questions that there will be independent reviews, if they seek them, of their families’ case notes so that they can be assured of what has happened. That is the first thing that we will do.

The second thing that we have to look at is whether this is a generic problem or a problem at a specific hospital. I am assured by the Healthcare Commission—the chief executive has made a statement today—that there is no equivalent case in all the other NHS hospitals across the country. We should therefore focus on the individual mistakes that were made by management and deal with them. A further inquiry is going on to look at what happened between 2003 and 2005. At the same time, the Care Quality Commission is looking into what lessons we can learn in general from what happened.

Mr. Clegg: When doctors at that hospital have confirmed that they were instructed by their managers to abandon seriously ill patients and to treat people with minor ailments instead in order to meet the Prime Minister’s targets, it is not enough to talk of reviews, inquiries and to blame other people. Will he scrap the mad targets that make hospitals tick boxes rather than look after the desperately ill?

The Prime Minister: Whatever happened in that hospital is unacceptable and should never be allowed to happen again. I too have looked at all the detail of the evidence in this report, which also says that nursing care standards were poor but that they were never discussed or identified as being poor, that results of patient surveys were available but were never reported to the board of management, and that, at the time of the C. difficile infection, nobody on the board or among the general public ever knew that the rate of infection had doubled. Those low standards of management in the hospital, therefore, must be dealt with by our review.

I take seriously everything that has come out of this case, but I think that it is not unreasonable in the modern age to expect a hospital to have the highest
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standards of care and at the same time ensure that every cancer patient is seen within two weeks. It is not unreasonable to say that hospitals should have the highest standards of care and ensure that there is a wait of only 18 weeks between a person seeing a doctor and getting an operation. It is not unreasonable to say that the highest standards of care should be pursued in accident and emergency departments and that people should not have to wait for hours before they get treatment.

We will look at all the evidence that is available. The Care Quality Commission will look at it too, but I think that we have to deal with the individual management failures in the hospital and then learn whatever lessons we can for the future of the national health service.

Mr. David Kidney (Stafford) (Lab): After these damaging revelations about Stafford hospital, there are relatives today in turmoil, wanting to know whether their loved ones’ deaths could have been prevented. I want to press the Prime Minister on what he has just said about reviews. I say that those relatives are entitled to an independent assessment to answer that question for them. Does he agree with that?

The Prime Minister: There are no excuses for what happened in Stafford hospital—no excuses at all. That is why every single relative who asks for it has a right to have the case notes reviewed independently, and to see the notes themselves. That is what will happen. Relatives will have a right, therefore, to take whatever action is necessary as a result of seeing the papers before them.

At the same time, Mr. George Alberti, who is recognised as being a very pre-eminent surgeon, is going to go to the hospital to look at the progress that has been made, and which has been reported by the Healthcare Commission already. He will ensure that, in future, patients at Stafford hospital have the assurance of the highest standards. The chief executive and the chairman of the trust have been removed. There is a new chief executive who will look at disciplinary procedures wherever they are necessary. We have got to do everything to assure people that they can have the trust that we know that everybody wants to have in the national health service and in every hospital in the country.

Q2. [264128] Annette Brooke (Mid-Dorset and North Poole) (LD): Is the Prime Minister still committed to robustly protecting the green belt? If so, will the Government scrap the south-west regional spatial strategy and allow local communities to develop plans to address local housing need and protect precious open spaces?

The Prime Minister: If the hon. Lady wants to talk about the future of the regions, I hope that she will join the regional Committees in the House of Commons to debate that. As for the green belt, I think that we are doing more than any Government to protect it, and that is what we will continue to do.

Derek Twigg (Halton) (Lab): The proposed Mersey gateway bridge will help ease traffic congestion in my constituency and in the constituency of my hon. Friend the Member for Weaver Vale (Mr. Hall). The previous Tory Government turned down the project, which will
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also create more than 4,000 jobs in Cheshire and Merseyside. Will my right hon. Friend do all he can to ensure that there is no delay in the final decision approval, as this is exactly the sort of infrastructure project that will help economic recovery?

The Prime Minister: Yes. My hon. Friend has been working very hard and representing the case of his constituents on this matter, and I can assure him that we will look very carefully at what he says. I can tell him that we plan to advance public spending in the year that is coming. We plan to spend £44 billion in the year from April, and that will add to the number of jobs in every constituency.

Q3. [264129] Mr. Adrian Sanders (Torbay) (LD): It was announced today that another 800 jobs have been lost in the south Devon area. That will put more pressure on South Devon college, which helps to train people and get them back into work. Will the Prime Minister look urgently at the funding blockages that are preventing that outstanding college from expanding and helping some of the people who are losing their jobs?

The Prime Minister: I am grateful to the hon. Gentleman for that question, and I will look at the matter. I repeat that the investment that is to take place in further education colleges—it is a capital programme—will be £110 million this year. I can also say to him that the Train to Gain programme, in which colleges are often involved, is expanding from 300,000 people to 700,000 and then a million people, so more people will be able to take courses that will give them the necessary skills. Of course I will look at the specific issue in his constituency that he has raised.

Q4. [264130] Mr. Jim Devine (Livingston) (Lab): As my right hon. Friend is aware, a prisoner recently released from Guantanamo Bay has been making very serious allegations about torture. Can he assure me and the rest of the House that the claims will be fully investigated?

The Prime Minister: I have placed a written ministerial statement in the Library this morning, and I want to update the House about what the Government are doing, so that we can deal unequivocally with the issue of our condemnation of the use of torture. We will now publish, after consultation with the Intelligence and Security Committee, the guidance to intelligence officers and service personnel on detention, and on interviews of detainees overseas. We will invite Sir Peter Gibson, who is a former Lord Justice and the current intelligence services commissioner, to monitor complaints to do with the guidance, and to report to me annually. In order to have systems that are robust, we will ask—

Hon. Members: This is a statement.

Mr. Speaker: Order. Let the Prime Minister speak. [Interruption.] Let the Prime Minister speak.

The Prime Minister: In order to ensure that our systems are robust, we will ask the Intelligence and Security Committee to consider any developments and relevant information since its last report. [Hon. Members: “This is a statement.”] I have faith in our security
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services. We must ensure that the public also have all the faith that is necessary in our security services, and we condemn absolutely the use of torture.

Mr. Speaker: Order. I hear shouting. If anyone feels that there should be a statement, they should ask for an urgent question; that is the way to do it.

Mr. William Cash (Stone) (Con): What the Prime Minister just said about the hospital in Stafford simply is not enough. We do need a review of the case notes, but we do not just want a Care Quality Commission review. What we need is a full public inquiry to get to the bottom of the matter. It is not enough simply to deal with the issue in the way he described. We need to know whether compensation will be payable to the victims, and we need to ensure that the people responsible who are still on the board are sacked, and not simply suspended on pay.

The Prime Minister: I know that the hon. Gentleman’s constituency is covered by the hospital as well, so let me reply to him in some detail. All disciplinary matters are being dealt with at the moment by the new chief executive, who is looking at what has happened in the hospital over these last few years in the light of the Healthcare Commission report. A Healthcare Commission report will be followed up by a review into what happened between 2003 and 2006, and an inquiry by George Alberti about whether the standards that have been raised are actually satisfactory for people in the area. At the same time, the Care Quality Commission will look at the standards of health care overall, and look at whether there is an early warning system that could be better in future for dealing with such problems. Individuals, of course, can bring what cases they wish, but I think that they will welcome the fact that the individual case notes are to be made available to them, and are to be reviewed independently.

Q5. [264131] Dr. Hywel Francis (Aberavon) (Lab): May I add my condolences to the families of all the servicemen who have died recently in Afghanistan, including Corporal Dean John of Port Talbot in my constituency? Dean was a member of a well-respected service family. Many of our 6 million carers in this country have benefited significantly from the Government’s new national carers strategy, and we should welcome that. However, the carer’s allowance has not been improved. Will my right hon. Friend the Prime Minister agree to meet carers’ organisations, and the all-party carers group, to discuss ways of improving carers’ benefits, as recommended by the Work and Pensions Committee report last year?

The Prime Minister: The 6 million carers in our society are at the heart of the help that is necessary for people who are in need of assistance and care, and we want to do everything that we possibly can to help them. I will happily meet the delegation that my hon. Friend suggests I meet. As he knows, the national carers strategy made proposals about respite care, about training for carers, and about pensions for carers. We are also looking at the allowances that are available for carers. We want to do whatever we can to help that group of people who give their lives to help people who are in difficulty and in need. I look forward to meeting the carers’ organisations.

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Q6. [264132] Mr. James Arbuthnot (North-East Hampshire) (Con): On Saturday my right hon. Friend the Member for North-West Hampshire (Sir George Young), my hon. Friend the Member for Basingstoke (Mrs. Miller) and I visited Basingstoke and North Hampshire hospital to see an out-of-hours medical service provided by local GPs. It is a fantastic success story called Hantsdoc. It has been rated the best health provider in Hampshire, it has nearly 100 per cent. customer satisfaction, and it is locally run and locally devised. Is this not a better model than the top-down, target-driven, Whitehall-imposed approach that seems to be, sadly, less successful elsewhere in the NHS?

The Prime Minister: It does not seem to me incompatible to have locally run health services that are of the high standard that the right hon. Gentleman has asked for and seen in his constituency, and which I have seen in many hospitals and GP-led centres in the country, and to have minimum targets which are objectives that are set and can be met for the country as a whole. I come
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back to this: do we want to get rid of the objective and, indeed, the guarantee that within two weeks someone suffering from cancer can be seen by a clinician? Do we really want to go backwards on that? Surely that must be a national objective which all people can support.

Q8. [264134] Meg Munn (Sheffield, Heeley) (Lab/Co-op): Many British children on the island of St. Helena are living with only one parent or without both parents, as adults of working age have to leave the island to find work elsewhere. The decision this week to put off a decision on the airport has dismayed them. Will my right hon. Friend commit to an early decision and give those families some hope that they can live together again?

The Prime Minister: I know that my hon. Friend held a debate on the matter in Westminster Hall. It is important to say that we have set up a consultation on options for access to St. Helena. That consultation will report, and then we will make the right decision.

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