By Matthew Barrett
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Following on from the last few days' rolling blogs, I have below a final list of the MPs (and Baroness Warsi) appointed as Ministers for each department. I have put new appointments in bold.
Department for Business, Innovation and Skills
Department for Communities and Local Government
By Jonathan Isaby
Last month Andrew Lansley wrote exclusively for ConHome here about the Government's Health and Social Care Bill.
The Bill had its Second Reading in the Commons yesterday, during which new Oldham East and Saddleworth MP Debbie Abrahams gave her maiden speech and David Miliband gave his first full speech as a backbencher since losing the Labour leadership.
But here a snapshot of the contributions from the Conservative backbenches.
"During the lifetime of this Parliament the national health service faces a genuinely unprecedented challenge, first articulated not by my right hon. Friend the Secretary of State in the present Government, but by the chief executive of the health service before the general election in May 2009, when he drew attention to the fact that demand for health care should be expected to continue to rise at roughly 4% per annum, as it has done throughout the recent history of the national health service. However, because of the budget deficit situation, we will not see the health budget continue to rise to absorb that rise in demand, in the way it has done over the past decade.
"Therefore, during the lifetime of this Parliament, we will have to see, in the national health service, a 4% efficiency gain four years running-something that not merely our health care system, but no other health care system in the world, has ever delivered. The Select Committee has referred to that as the Nicholson challenge, reflecting the fact that it was first articulated by the chief executive and endorsed by the previous Government. Again, this is a case of a shared agenda across the House of Commons.
"Given the Budget deficit, the only way we can continue to meet the demand for high-quality health care, which we all want to see, is by delivering an unprecedented efficiency gain in the NHS for four years running. That is why I support the Bill. I support it because to my mind it is inconceivable that we can deliver such an efficiency gain without delivering more effectively than we have done yet on the ideas, which have been endorsed over the past 20 years, about greater clinical engagement in NHS commissioning, which I have been talking about. Commissioning cannot be successful if it is something that is done to doctors by managers; it must engage the whole clinical community. We must address the democratic deficit, because we cannot bring change on the scale that we need to deliver the efficiency gain without engaging local communities."
It's not that regularly that Private Member's Bills attract front page tabloid attention, but today is an exception. The Daily Express has splashed with the news that children under eighteen are to be banned from using sunbeds which emit ultra-violet light under a Private Member's Bill introduced by Labour MP Julie Morgan which passed its remaining Commons stages yesterday.
Firms breaking the new law (assuming it passes in the House of Lords before dissolution) will be subject to a £20,000 fine. Unstaffed coin-operated tanning booths will also be outlawed under the legislation.
Tory backbencher and serial deregulator, Christopher Chope, unsuccessfully attempted to water down the provisions of the Sunbeds (Regulation) Bill, before it passed its Third Reading without a vote.
Mark Simmonds, the shadow health minister, welcomed the Bill's provisions from the Opposition front bench:
"The Bill is sensible and is supported by a significant amount of clinical evidence. If it is enforced properly over a period of time, it will make a contribution to reducing rates of skin cancer. It is vital that we should find ways of improving cancer outcomes in this country, and the Bill is one small contribution to that.
"I want to make two final points. It is essential that we provide greater, more accurate and more easily accessible information to enable people who might use such facilities to understand the implications of doing so; I am thinking of those over 18 and those below 18, in respect of whom medical exceptions apply.
"I should like to leave the Minister with this message: the success of the Bill will be in the evaluation and monitoring. That issue must be consistently looked at by the Department to ensure that if there are any improvements, the cost of the Bill is closely considered as it develops 12 months hence.
"I wish the Bill swift passage, and I look forward to its receiving Royal Assent."
It was time for questions to the Health Department yesterday. Perhaps the most noteworthy question came from Mike Penning (pictured right), who spoke in light of the revelation that in 2007-08 criminal sanctions following cases of assault in the acute sector rose by thirteen per cent.
Shadow Health Secretary Andrew Lansley asked about sport in schools:
"I welcome the announcement of the Active England strategy, but it has taken a year to get there. I am afraid that the Secretary of State has got it wrong about school sports. The Government are not meeting their commitment to ensure that all pupils get two hours of sport a week in schools. In the school sport survey last October, the number of 11 to 16-year-olds getting two hours of exercise had gone down from 88 per cent. to 83 per cent. in a year. Will the Secretary of State, with his colleagues at the Department for Children, Schools and Families, ensure that the commitment to a minimum of two hours of exercise in schools is achieved, and will he tell us when will it be achieved?
Alan Johnson: From memory, the proportion of young children getting two hours of exercise in schools was about 24 per cent. when we came into government, so a drop— [ Interruption. ] Incidentally, I am not sure about the statistics that the hon. Gentleman just quoted. If there has been a slight drop, it should be seen in that context. Sport in our schools is essential to the sort of message that we seek to deliver, which is why we have pledged not just effort and time, but a huge amount of finance to meet those targets. And we will meet the target in 2010, just as I am absolutely sure we will move on to meet the extended target in 2012."
Shadow Health Minister Mark Simmonds was concerned about access to GPs:
"In Battersea, the provision of primary care is vital to the health of the community, but according to the Royal College of General Practitioners, seeing a doctor who knows the patient and their medical condition personally is important to more than 75 per cent. of patients. Yet the Secretary of State recently said that he “could not care less” which GP he sees. That is totally out of touch with patient needs both in Battersea and elsewhere. Can the Minister confirm that continuity of care is important to the vast majority of patients, particularly those with long-term conditions? If so, why are he and the Secretary of State centrally imposing polyclinics, against patients’ needs and wishes?
Mr. Bradshaw: Yes, I am happy to confirm what the hon. Gentleman asks me to confirm. However, what he says is another of the myths that were peddled by both the Opposition and the British Medical Association, at the time, in their opposition to new GP health centres. I do not know whether he has now abandoned the Conservative party’s opposition to the centres. I suspect that the Conservatives will quietly abandon that opposition, because where the new centres are opening, they are incredibly popular, not least with local Conservative councillors and Conservative MPs who want theirs to open as quickly as possible.
Of course continuity of care is important for many patients, particularly those with long-term conditions. However, many people, such as professionals who are otherwise healthy and who are juggling work and family life, find it very difficult to see their GP, because of opening times. They warmly welcome the opportunity to see a GP, and they do not particularly mind whether it is always the same GP."
It stretches credulity to say that people are indifferent about who their GP is; Mr Simmonds is correct.