21/11/2013 Question Time


21/11/2013

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Tonight, we are in Salford, and welcome to Question Time.

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And welcome to our audience tonight, who are from different

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generations. One half under 30, and one half over 60. And welcome to the

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panel, Conservative Health Secretary, Jeremy Hunt, Labour's

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Shadow Justice Secretary, Sadiq Khan, Liberal Democrat Olly Grender,

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adviser Tony Clegg until last year and is now in the House of Lords. --

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adviser to the Clague. -- Nick Clegg.

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You may have noticed only three panellists, because sad to say how

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two other panellists who we had asked to come, Daily Telegraph

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writer Tim Stanley and broadcaster Joan Bakewell, were held up on a

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train by a fire at the side of the track. They came halfway and then

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went back, lost for ever, I suspect. When they turn up, we will have them

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on. They will not be here tonight. Let's go to our first question. We

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get a lot of questions about the divide between the generations and

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the idea behind this programme is to explore those questions, and other

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things, in terms of these two generations, under 30 and over 60.

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The first from Anthony Robinson. Would the money spent on universal

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benefits for wealthy pensioners be better used to help young people?

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These are that list - free television licences, went a few, bus

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passes, I test is, even being exempt from the under occupancy charge, the

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bedroom tax. Olly Grender. I think, Anthony, yes, on the whole, they

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should. Where I think it gets difficult is that we work on an

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assumption that you all look very young and sprightly on this side of

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the audience, and we work on an assumption that you are baby

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boomers, and therefore reaping the rewards of a post-war era. This lot

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here? They look very healthy? They look very healthy to me. And so I

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think what we need to stop doing is to stop thinking of you as a

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homogenous group. There was a recent report in the place I have just

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become a member of, the House of Lords, which says that age is no

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longer an indicator of need. For instance, you might be quite a

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wealthy pensioner, or have a fewer assets, in terms of property, but be

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quite lonely. Or you might have property, but be pretty poor in

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terms of fuel poverty. Are you saying you cannot work out who to

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give benefits to? My preference would be that wealthy pensioners do

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give up bus passes. I would like to see that happen. But what I am

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saying is that I think it is much harder than people assume to say,

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you are all in this huge lump of quite wealthy. I do not think you

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are. Jeremy Hunt, do you think you can define who are wealthy among

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pensioners and then say, you do not need the money so we will give it to

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that lot? You can do it, but the reason we are not doing it is

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straightforward. David Cameron promised before the last election

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that he would protect pension benefits. He is someone who believes

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he must keep his word. Was it a wise promise and does it last until the

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next election? Absolutely. And after, if you win it? He believes it

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was right for the simple reason that we started the parliament with a

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huge deficit to tackle and big decisions to take us to the fairest

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way to tackle the deficit. We decided pensioners were different,

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because they had passed the point in their life where they are able to

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earn more money to make up for any shortfalls, so we should -- thought

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it was right to make that decision. The worry is that if you start

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chipping away at some entitlements, others may follow. We have been true

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to our word, kept our promise on protecting the state pension and

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pension benefits. In a very difficult period, that shows our

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commitment to the people who would find it otherwise most difficult to

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make up for their earnings. I have to admit, I am quite confused why we

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constantly seem to be coming back to this question of whether these

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benefits should be taken away from wealthier pensioners. Would this not

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have been done years ago if it was easy? I understand it would be

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difficult to administer the means test and give it to pensioners. I

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think we should maybe stop dividing the groups against each other.

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Eventually, young people are going to be pensioners, too. If we pay

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into the system, we should expect something back.

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Didn't David Cameron also promised not to top-down reorganise the NHS?

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I think that is what is called a rhetorical question. The man on the

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far left. Perhaps MPs should lead by example. There are MPs who have been

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claiming gas and electric rounds on their expenses. Perhaps they could

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donate that to pensioners. -- gas and electric allowance on expenses.

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The definition of a wealthy pensioner now seems to be taken as

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anybody who pays tax at the standard rate. That means they have an income

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of slightly over ?10,500. That is a ludicrous mark. Where do you get

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that from? Because the government do not like to means test, that is

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where the line is likely to be drawn. I do not want to pick the old

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against the young, but I think the question goes to a root issue, which

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is that the British promise basically is that those who are the

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next generation will do better than the current generation. The way that

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the social contract works is that it is a pyramid where those at the

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bottom who are working pay tax which goes towards your pension and you

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get out what you put in. There is a big Rob, which is that this

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generation will, for the first time in generations, the less well-off

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than that generation. I am an MP in London. The average age of a

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first-time property buyer in London is 38. We can have a discussion

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about some universal benefits staying universal. The pension. I

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think the bus pass is very important. Many older people need

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the bus passed to see friends and family, it addresses loneliness and

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get them out of the house. But Richard Branson and Alan Sugar do

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not need it but are entitled to it, which is ridiculous. Richard Branson

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does not use his bus pass and we are not paying for it. If you means test

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and shimmers for the bus pass, they will not apply for it. They will be

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stuck at home and it will be a huge cost to all of us. Rather than

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pitting you against them, make sure these guys have a future. Get them

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to work on the get them paying tax, get them paying national insurance

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and rebuild the social contract. The problem we have with the bus passes

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is that if the people did not use them, the buses would be empty. They

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still have to run, they have a schedule to keep. They run whether

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there are people on the bus or not will stop why take it from people

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who could use it and fill the buses? I agree with Sadiq Khan on this. We

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pay for bus passes for those who need them and we do not end up

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paying for the richer pensioners anyway. I also agree that I think,

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without wanting to dispute the premise of this programme, David, I

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actually do not think there is any point in trying to set one age group

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against another. All young people have parents and grandparents who

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they want to see through their old age with dignity and respect. And

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all grandparents want opportunities for their grandchildren. Everyone

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wants to make sure we have a fair society where we take the right

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decisions for the long-term, where everyone gets those opportunities.

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We can do that, but it means difficult decisions in a difficult

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period, when you have challenges ahead, as we all have, and those

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challenges do change. I think one of the problems is that if you got on

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the housing ladder at the age of these people and were lucky

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enough... Which people? The older generation. If you have built up a

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great deal of equity, and it is so much harder now to get into

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housing, and yet that is the basis, in the UK, unfortunately, of a lot

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of wealth. It is very hard. What we would need to do is to have quite a

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good and lengthy discussion about how the older people give up some of

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the equity, or release it to the younger people. For once, I agree

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with the whole panel. It is not their fault. It is not our fault. It

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is your fault. We were not the ones who sold off the council houses. We

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were not the ones who promised no Jewish in fees and as soon as they

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got anywhere near government sold out everybody who voted for them.

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You are the ones who did it. It is your fault, isn't it? All right, you

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made your point. The big question to grapple with, and we should be proud

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of this, we are living much older than we were historically. There are

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big questions about social care. We will be looking after our parents,

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because they will live longer. Also, people who are older will have to

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work longer. There are questions about when pension entitlement

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should kick in. It is an issue for all of us because we will be old one

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day as well. The idea of clashing generations is not the way. But

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tinkering with bus passes, which is a huge lifeline for many pensioners,

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is not the source of addressing these problems. These are big

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questions and need big answers. There are many pensioners who want

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to give up some of their benefits and have made that clear. You do not

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have to take the bus pass, the winter fuel allowance. You do not

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have to do any of these things. When you say there are people who want to

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give up... There are people who are saying they do not want these things

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and would like to give them up. Who are they? Maybe you are one of

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them. No. I agree, who defines a wealthy pensioner.

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I pay a small amount of income tax, but am I a wealthy pensioner? Could

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you define a wealthy pensioner? The government can do these things. The

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sums are much smaller. I have looked at these sums and they are much

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smaller than you might think. Usually, most people's definition of

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wealthy is the super wealthy. Actually, it does not have a huge

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impact because they are often not claiming benefits in the first

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place. The problem is that we have to recognise that we have a very

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expensive benefits there will, and we have to take some difficult

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decisions the fairest way to deal with it. And is it fair to do what

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David Cameron is proposing for the next manifesto, abolishing benefits

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for those under 25? Saving how much? What he has said is that everyone

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under 25 should be earning all learning, and I think that is

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absolutely right. It is completely wrong that someone can leave school,

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sign-on, find a house or flat to rent, get housing benefit and then

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start a life on the dole. I think it is immoral. We need a society that

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does not allow that. If you look at Holland, they do not allow anyone to

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claim benefit under the age of 27, and they have half the youth

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unemployment that we have. They find a combination of studying and

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working. That is a much better start for people. Are you in favour of

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that policy? No. It is shocking that it is coming at a time to tell

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people to earn, or to learn, when the minimum wage is so far below the

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then -- the living wage. Zero our contracts and the failure to provide

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people with work are skyrocketing, and fees for education have gone

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through the roof. So earning and learning is becoming increasingly

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difficult and you are telling people they have no safety net if they

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fail. You are against abolishing the benefit. Let's move on because we

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have a lot of questions. Are you in favour or against the proposal of

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under 25-year-olds not getting benefit? I am against it. I am

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against sweeping generalisations about young people. Many young

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people do not get a good job. Why does the government not focus on

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those who do not go to university, giving them vocational skills to get

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a proper job? Why not put pressure on big businesses to provide

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apprenticeships for young people? The way to reduce the benefit bill

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is not to cut and fits but to get these guys into work, give them

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apprenticeships, the skills they need. There are double the number of

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apprenticeships than under Labour. You are telling stuff that is not

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right. There are almost 1 million young people unemployed. In the last

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quarter, the number of young people unemployed for more than a year went

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up by 7000. There are record numbers not in employment, education or

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training. They are desperate for education, desperate for employment.

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They are in the right place, because in Salford, apprenticeship went up

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90% since Labour left the government. You cut education

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maintenance allowance, treble Jewish and fees, so do not be surprised if

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these guys do not go to university or college.

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We have one and a half million apprenticeships starting, double

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under Labour. We are doing those who are not in education or employment,

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that has gone down by 50,000, we are doing the things helping young

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people. That is what counts. We have got a lot of questions.

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You can join in the debate from home. The Red Button will let you

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see what others are saying. Catherine Johnson, please.

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If clever banks and bankers in London, and ethical banks mess up,

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who can Manchester girl trust? It is shocking, the revelations at

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the co-operative bank, and what has happened over the last few years.

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Had things been different they would have taken 700 Lloyd's branches as

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well, I welcome the enquiries. The Treasury Select Committee will be

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doing an enquiry, also the Financial Conduct Authority. It is about

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mutuals, not-for-profit, getting involved in provision for funeral

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services, legal services, grocery stores, financial advice. Many

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people back with it because it is ethical. When you bear in mind who

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is bailing them out, people banking with them are concerned. We are very

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proud of our association with them. Is it safe to bank with?

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It is not for me to say. We have changed the way banks are

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regulated. The fact they have not stepped in and gives me a source of

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confidence. I am pleased we are looking into the affairs. To make a

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sweeping assertion against the movement based on the actions of one

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ex-chairman and what happened is very unfair. In this part of the

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country in particular the co-operative movement doing a huge

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source of good for the population. What can Manchester girl do?

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If you have got savings, they are safe. The focus from the Prime

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Minister should not be to score party political points, but making

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job or worse, savers and investors are reassured their money is safe.

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I agree with him. Mutuals are a brilliant concept. In a period where

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people are mistrusting banks, the sort of trust you get with someone

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like John Lewis, it gives you confidence in an organisation and we

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should be encouraging different ownership models. We are doing a

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study to see if there is anything we can learn in the NHS about the

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mutuals movement. We should be thinking about the nearly 8 million

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individual holders, most of these people are not wealthy, it is their

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life savings invested in something they trusted, they got a dividend

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last year, they haven't had one this year. They are wondering how on

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earth the reverend flowers -- Reverend Flowers managed to become

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chairman. There have been a lot of newspaper headlines but how can

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somebody with so little knowledge of banking got to run a really

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important into station -- institution? I hope, we are clearing

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up a lot of mess after the banking crisis, but it does look like he got

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that job because of his connections, some of them look like political

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connections and I hope the Labour Party will be transparent. Their

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responsibility is to those 8 million bondholders to make sure we get to

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the truth they have a secure future for their savings and this can never

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happen again. Is it a cheap political point to attach blame to

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Labour? In fairness there were big

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connections between the Labour Party and the Co-op bank. Labour has still

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got its loans, the least it could do is be honest and transparent.

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Would this have ever come to light if his past haven't been exposed by

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a national newspaper? It is possible the answer is no. We

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still rely on our newspapers as thriving and vibrant and exposing

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organisations. For instance, we are seeing the trial, the Murdoch trial,

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the trial looking at the telephone hacking, and that would not have

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been exposed if it hadn't been for some of the newspapers. I think, as

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a long-term customer of the Co-op myself, I'm disappointed in all of

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this. What I really ask is how on earth after the banking crisis we

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had in 2007, why is there still a kind of regulatory system that isn't

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picking up these things? The one thing I would say is if we are going

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to have for enquiries about what happened in the past, I am not

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overly interested in that now, but what I am interested in is saving a

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great bank, it is the kind of bank we need rather than payday lenders.

:22:57.:23:07.

Mr Hunt likes winning political points with regards to blaming the

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Labour Party, perhaps we should start looking more into the

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financial organisations that made significant payments to the

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Conservative party and their dodgy appointments? Do you agree? He

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cannot stop himself. They have given no donations to the Labour Party.

:23:38.:23:43.

Recommendations were made which is implemented now would have uncovered

:23:44.:23:49.

some of this. Last year the Chancellor and the Treasury

:23:50.:23:52.

ministers spent a great deal of time lobbying Brussels to change the

:23:53.:23:57.

rules and persuade the Co-op bank to take over the Lloyds branches, the

:23:58.:24:01.

last three years, under your watch. Stop making cheap points about our

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connection with the Co-op bank. We are very proud with our link with

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the co-operative movement. Go on, Jeremy.

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The Chancellor lobbied on behalf of the Co-op rank which is a donor to

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the Labour Party. You say it doesn't lend money. What I actually said was

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that we need transparency from Labour to get to the bottom of this.

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Nearly 8 million bondholders are worrying about what will happen to

:24:52.:24:55.

their savings and we need to make sure we find out the truth stop that

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is all we are saying. I want to go onto a question that

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affects the generations we have. Let's move on. A question from Paul

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George. What can the government do about the

:25:12.:25:19.

housing market when house prices continue to rise? This affects the

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younger generation who cannot get on to the housing ladder, average wages

:25:25.:25:32.

decreasing, house prices going up. If you look at how the world has

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changed, when I left university until now, one of the biggest

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changes is it is so much harder to buy a house. There are other things

:25:42.:25:45.

that have got better for young people, the technology revolution

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has made huge strides, but this is very difficult thing because

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everybody wants to own a house rightly so. There are some big

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challenges if we want to get this right. We need to get new housing

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starts going again. They have got back to their 2008 levels but it has

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been a struggle. We need to look at planning laws, and my party, the

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government, made some controversial changes to make sure we do start

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building houses. The biggest betrayal of young people would be if

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we said we have got our houses now, we will not do what it takes to help

:26:24.:26:27.

young people get a foot on the housing ladder. The third thing is

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access to finance. That is why pay help to buy scheme has been

:26:32.:26:40.

significant, helping 75 families every day at their home. It is true

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it is still a real struggle. We have to do everything we can. It is

:26:46.:26:50.

something that hasn't changed between the generations, that they

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desire to own a house. Every government has a responsibility to

:26:56.:26:58.

do what it can to help people take that step.

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The man at the back. Part of the problem is the Labour

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government of the 90s set a target of sending 50% of young people into

:27:10.:27:14.

higher education. These young people cannot afford to buy a house because

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they are coming out of university, there are not the graduate jobs they

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need, and they are having to take jobs on a much lower level, less

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pay, in order to be able to survive so they cannot save up the money to

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buy a house. That is something the previous government have two out of

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four. -- they have to answer for. So roughly speaking 7% of that age

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group went to university, the older group. I am proud we wanted to have

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50% going to university. We have all benefited from a university

:27:54.:27:58.

education. The crisis in the housing market. Besides Ollie. -- Olly. Last

:27:59.:28:20.

year there were as many housing completes as the 1920s. We need to

:28:21.:28:29.

build more houses. The older side.

:28:30.:28:38.

There is a shortage of land yet there are property developers

:28:39.:28:41.

holding onto land for years and years waiting to maximise the prices

:28:42.:28:44.

when they should be legislation that makes them start building within 12

:28:45.:28:52.

months of buying the land. Do you own a house yourself?

:28:53.:29:01.

Yes. Your children, grandchildren? My children have got on the housing

:29:02.:29:15.

ladder. How old are they? 44, 42. They are not here on this site of

:29:16.:29:21.

the audience? This woman here. There is currently lots of three-bedroom

:29:22.:29:26.

houses empty because people affected by the bedroom tax, because nobody

:29:27.:29:31.

can move into them because they cannot afford them.

:29:32.:29:40.

The help to buy scheme is a bit scary because you are giving more

:29:41.:29:45.

people who cannot afford a house more income, jobs are not certain so

:29:46.:29:49.

why would you give more people access to more money when the

:29:50.:29:56.

economy is not stable, the income is not enough to pay the mortgage?

:29:57.:30:02.

On the help to buy scheme, there are much more checks and balances than

:30:03.:30:07.

they used to be. They used to be hundreds of schemes that would lend

:30:08.:30:11.

money at 93% of the value of the house, and it is something like 40

:30:12.:30:23.

3% -- 43 products. I know what happened in Manchester is that a

:30:24.:30:28.

whole load of single by Jim Holmes were bulldozed -- single bedroom

:30:29.:30:38.

homes. A lot of people in Manchester have been evicted as tenants. At the

:30:39.:30:43.

same time as there is money available to pay them to keep them

:30:44.:30:49.

in tenancies, unlike stop what, where tenants have been evicted

:30:50.:30:55.

under this system -- unlike Stockport. There is central

:30:56.:30:59.

government funding of ?180 million that can help people through this.

:31:00.:31:02.

If I can just say about the housing thing, I was really interested to

:31:03.:31:09.

see Ed Balls today was admitting Labour kind of screwed up on this.

:31:10.:31:15.

When I was working at backward shelter -- Shelter trying to lobby

:31:16.:31:20.

the government to build houses we got nowhere. It is good to hear Ed

:31:21.:31:26.

Balls finally admit housing was a big failure by the Labour

:31:27.:31:31.

government. I think it was. We are building and have finally managed to

:31:32.:31:34.

start building more affordable homes. For the first time we are

:31:35.:31:39.

getting more social housing after it was sold off by successive Labour

:31:40.:31:51.

and Tory governments. That is not my experience. What about what Ed Balls

:31:52.:32:01.

said? He said we should have built more houses when we were in

:32:02.:32:11.

government. We had to bring those appalling properties and social

:32:12.:32:13.

housing up to decent standard. We should have got more housing but we

:32:14.:32:18.

did not. If we build more houses, it means more builders getting into

:32:19.:32:22.

work, paying National Insurance and tack 's. We need to have a law that

:32:23.:32:30.

says you use it or you lose it. We say to property developers hoarding

:32:31.:32:34.

the land, unless you use the development plans you have to build

:32:35.:32:37.

a housing, we will take it away from you and build on the land ourselves.

:32:38.:32:45.

You mentioned earlier that you are getting to the stage where people in

:32:46.:32:48.

their 30s are only able to get onto the housing ladder for the first

:32:49.:32:53.

time. I was 30 when I got onto the housing ladder and I entered the

:32:54.:32:56.

housing market a mortgage rate of 10%. And the reason why I did that,

:32:57.:33:05.

and a lot of others did, too, was a simple fact of mobility. We were

:33:06.:33:08.

willing to go where the job market was. I was caught up in the

:33:09.:33:12.

north-east and had to move to London to get a job in order to get onto

:33:13.:33:18.

the housing market. I do not see too much of that mobility in the

:33:19.:33:22.

marketplace. Our Usain young people will not move? -- are you saying? We

:33:23.:33:37.

do move. We move around all the time. If where we go to university

:33:38.:33:41.

there are not jobs, we have to go to another city. We move around. You do

:33:42.:33:45.

not necessarily see it, but we do it. Surely basic economics tells us

:33:46.:33:56.

when demand outstrips supply, the price goes up. Jeremy has already

:33:57.:34:00.

told us we are not building enough houses. At the same time, they are

:34:01.:34:04.

making it easier for people to get mortgages. Prices go up. What do you

:34:05.:34:11.

think the effect will be on this generation, who cannot get on the

:34:12.:34:20.

housing ladder until 38? Maybe if we adopt a more European approach. In

:34:21.:34:31.

Germany, more people rent. Isn't it going to turn into a system

:34:32.:34:35.

where we end up renting and the rich get richer and we put more money

:34:36.:34:38.

into their pockets because we cannot get into the housing market? Do you

:34:39.:34:47.

have any aspiration? I cannot afford to enter the housing market at the

:34:48.:34:53.

moment so I will be forced to rent. I do not understand where the space

:34:54.:34:57.

for these houses will be. We currently have an immigration

:34:58.:35:03.

problem, a lack of job is. You are lending money to people, which seems

:35:04.:35:06.

a statistics game for the government to make itself look better.

:35:07.:35:11.

Eventually it will crash because the house prices will go down. Because

:35:12.:35:15.

there are more houses, the equity will do appreciate and it will crash

:35:16.:35:19.

eventually again. I have no intention of even wanting to get

:35:20.:35:25.

into that. We have two very different views on that. I think the

:35:26.:35:29.

answer is that we need a bit of both. We need to increase supply,

:35:30.:35:33.

but also to make sure people can afford it when you increase supply.

:35:34.:35:37.

We need to be brave and accept we will have to do that throughout the

:35:38.:35:42.

country. I think it is perfectly possible to increase supply and

:35:43.:35:46.

protect a beautiful countryside. I think there are lots of places where

:35:47.:35:50.

we could be more imaginative. The NHS is, for example, sitting on a

:35:51.:35:54.

lot of land which we could be much quicker at disposing of, and some of

:35:55.:35:59.

that could be appropriate for housing. But I think that at the

:36:00.:36:04.

heart of this is responsibility for those of us who did manage to get

:36:05.:36:08.

onto the housing ladder when houses were a lot cheaper to think about

:36:09.:36:11.

doing what it takes for people who are much younger, who have the same

:36:12.:36:17.

dreams and aspirations we had. It does not work and it is not

:36:18.:36:22.

acceptable to sit tight. I think we have to say, what are we going to

:36:23.:36:26.

do? Tackling this from all directions is the only way to do

:36:27.:36:31.

that. I want to look my children in the eye and say, I did what it took

:36:32.:36:36.

to help you enjoy the same ambitions and aspirations that I had. 13,500

:36:37.:36:43.

houses which have permission to build in Salford, but nobody is

:36:44.:36:48.

building, and the number is going up by about 2000 each year. Permission

:36:49.:36:52.

is being given but nobody is building. Why not? Profit. What can

:36:53.:37:05.

the government do? That is where the Help to Buy scheme can make a

:37:06.:37:08.

difference. Young people would be confident that they could buy the

:37:09.:37:12.

houses, and people would be confident they could build them and

:37:13.:37:19.

make a profit. You can relax planning permission. If they do not

:37:20.:37:25.

think it is profitable, they will not build. One problem is land

:37:26.:37:32.

banking. Second, it is people not having confidence in the economy and

:37:33.:37:36.

not wanting to invest in bricks and mortar. We have to use whatever

:37:37.:37:41.

levers we have two persuade them. Olly Grender is right, after a

:37:42.:37:45.

period of time, you could revoke the permission after five years. I am

:37:46.:37:50.

saying, let's go further. Unless you start building, we will take away

:37:51.:37:54.

the permission that you have. We can do it and we should. That will force

:37:55.:38:02.

them to start building houses. Onto another question. Alice Sugden,

:38:03.:38:09.

please. Will the reforms to the NHS do enough to prevent serious

:38:10.:38:12.

failings in care such as at Stafford Hospital? Olly Grender. This week,

:38:13.:38:24.

what the government has done is publish some responses to the report

:38:25.:38:34.

into Mid Staffs. I am sure Jeremy Hunt will go through quite a feud in

:38:35.:38:39.

detail, but I will look at one in particular which was actually in the

:38:40.:38:44.

Lib Dem manifesto. It is about a UK of candour. I see this as incredibly

:38:45.:38:49.

important. This is about honesty from people. When I hand my child to

:38:50.:39:00.

a nursery, I expect all of the staff to be absolutely straight with me if

:39:01.:39:04.

anything has gone wrong. It is exact in the same, as an elderly relative

:39:05.:39:08.

goes into hospital, you want to know there is an absolute expectation on

:39:09.:39:13.

both the organisation and the individuals in the organisation.

:39:14.:39:18.

That goes without saying but how would what happened at Staffordshire

:39:19.:39:23.

hospital be prevented? It does not go without saying. It goes without

:39:24.:39:28.

saying that you think it should happen. I think that is one of the

:39:29.:39:33.

reforms that will prevent things like this in future. I am confident

:39:34.:39:40.

that will happen. I think, in a way, what we need to do is to start

:39:41.:39:48.

celebrating the whistle-blowers. This is exactly the kind of thing we

:39:49.:39:52.

expect and want, people to be honest when something has gone wrong. This

:39:53.:39:57.

is exactly what did not happen in Mid Staffs. On this one particular

:39:58.:40:05.

point, I have confidence. I have confidence in the others as well. We

:40:06.:40:15.

had better not list the others! One of the reforms will criminalise

:40:16.:40:17.

doctors and nurses for wilful neglect. Will that create a culture

:40:18.:40:23.

of openness in the NHS, or a culture of fear? One of the shocking things

:40:24.:40:36.

about what happened at Mid Staffs hospital was that no nurses and

:40:37.:40:40.

doctors were brought to book for a very long time. In extreme cases, I

:40:41.:40:45.

think it is right, if someone deliberately harms a patient. Lots

:40:46.:40:49.

of doctors and nurses have said they would not want a doctor who

:40:50.:40:52.

deliberately harms a patient not to meet full force of the law. What

:40:53.:40:57.

doctor or nurse would ever agree with that. That is not the heart of

:40:58.:41:02.

the change. The heart of the changes something different, making it

:41:03.:41:07.

easier for people to speak out by giving them protection they have not

:41:08.:41:12.

had before. I meet many nurses and doctors who see things they worry

:41:13.:41:17.

about but then think what will happen if I speak out gesture more

:41:18.:41:21.

we need to change the culture so everyone understands that we all

:41:22.:41:27.

want people to speak out. Her point was about criminalising them. Are

:41:28.:41:32.

you happy with his answer? Does it answer your point? I think by

:41:33.:41:39.

criminalising people, other people will be scared to criminalise their

:41:40.:41:45.

colleagues. So they will not whistle-blowers if they think that

:41:46.:41:53.

-- they will be charged. In order for the duty of candour to really

:41:54.:41:57.

work, it depends on the culture of the organisation. It really does

:41:58.:42:02.

depend on that going from the top throughout the organisation.

:42:03.:42:10.

Otherwise a blame culture enters. What we want, and I agree that it is

:42:11.:42:15.

different, those prosecutions are different because it is where harm

:42:16.:42:19.

has been done deliberately. But where there is a mistake, we have to

:42:20.:42:24.

have it so that staff can put up their hand and say, I have messed

:42:25.:42:28.

up. I am sorry, we have to put it right, but also we have to learn

:42:29.:42:33.

from it. It is that culture of learning running through the

:42:34.:42:35.

organisations that I think will make the big change.

:42:36.:42:46.

On the point of criminalising neglect, I am going to qualify as a

:42:47.:42:51.

doctor in a couple of months. I am wondering why is it OK for other

:42:52.:42:54.

professions when they make a mistake in their job not to facing class

:42:55.:42:58.

oration, but it is a completely different story for medical

:42:59.:43:02.

professionals? -- not to face incarceration. If you deliberately

:43:03.:43:10.

harm anyone in any profession you are subject to the law. This is

:43:11.:43:15.

changing what is in common law and putting it in statute. This

:43:16.:43:19.

gentleman made the point that is right. This is not about trying to

:43:20.:43:23.

create more criminals, but a culture of openness. You have one of the

:43:24.:43:29.

best hospitals in the country here, which is the safest hospital outside

:43:30.:43:32.

London. They have done that because they have an inspiring Chief

:43:33.:43:37.

Executive and chief nurse, who have created a culture where the staff

:43:38.:43:41.

feel able to speak out. That is because they think if they talk

:43:42.:43:44.

about an error, something is going to happen and someone will learn

:43:45.:43:50.

from it. There is also another in Greater Manchester, greater

:43:51.:43:54.

Manchester mental health hospital trust. I happen to be on the board.

:43:55.:44:05.

We have that culture going. I think the Francis Report is a very good

:44:06.:44:10.

report. Unlike Olly Grender and Jeremy, I think we should implement

:44:11.:44:17.

all of the recommendations in full. Jeremy talks a great talk, but one

:44:18.:44:21.

of the problems is that the evidence is that since his party joined a

:44:22.:44:26.

coalition government, the number of nurses, and my source is the NHS

:44:27.:44:30.

information Centre today, the number of nurses is down by 6642 since May

:44:31.:44:38.

of 2010. One of the main findings of the report was that staffing levels

:44:39.:44:43.

are so low that doctors and nurses led to inadequate care and lead to

:44:44.:44:46.

bad things happening in Mid Staffordshire. One other thing is

:44:47.:44:50.

that you can have a criminal law about wilfulness collect and

:44:51.:44:55.

publicise the ratio of staff on wards, but unless you give hospitals

:44:56.:45:00.

the resources and the nurses, it is talk and no action. That is what

:45:01.:45:11.

needs to happen, Jeremy. Equally robust figures which you did not

:45:12.:45:14.

mention are that over the last three years we have had 6600 more doctors

:45:15.:45:20.

in the NHS. We have 1200 more midwives, 1000 more health visitors.

:45:21.:45:26.

Yes, I am worried about the nurses going down, not in hospitals, but in

:45:27.:45:29.

the community. District nursing numbers have gone down. That is

:45:30.:45:33.

wrong and that is why we are making the changes this week, which means

:45:34.:45:37.

everyone has to publish the number of nurses, so we know if there is

:45:38.:45:44.

safe staffing. You don't actually have anywhere to go, because your

:45:45.:45:50.

party opposed the public enquiry. You did not want to have the

:45:51.:45:57.

enquiry. It is true that Andy Burnham decided not to have a public

:45:58.:46:01.

enquiry and we decided to have it. That is why we are making, adopting

:46:02.:46:06.

so many of these recommendations today. What has happened as a result

:46:07.:46:11.

of that enquiry you did not want? Over the last year, hospitals have

:46:12.:46:15.

decided to recruit 4000 more nurses than they were planning 12 months

:46:16.:46:20.

ago. I think the climate is changing. I agree we need safe

:46:21.:46:25.

staffing in our wards, but it is not about one number for every ward. It

:46:26.:46:30.

is about a ward by ward basis, transparency and people feeling

:46:31.:46:33.

comfortable to speak out when they see something wrong.

:46:34.:46:39.

Several years ago the NHS carried out one of the biggest job

:46:40.:46:48.

evaluation surveys. Many nurses were put onto management grades which is

:46:49.:46:51.

why a lot of nurses disappeared, on the face of it. Now a ward sister

:46:52.:46:56.

isn't a ward sister, she is called a ward manager so she is not counted

:46:57.:47:02.

in the nursing numbers. So the numbers are understated? We may not

:47:03.:47:10.

have lost that number of nurses. You can talk about statistics all

:47:11.:47:16.

night, but the question was about whether the reforms the government

:47:17.:47:20.

are implementing will help. One of the root causes of the report said

:47:21.:47:28.

the management at Stafford Hospital were pushing to meet government

:47:29.:47:32.

targets and to try and get foundation status, that is why they

:47:33.:47:35.

were ignoring patients, they were more focused on getting targets. The

:47:36.:47:43.

question is, will the reforms help, wouldn't it be better removing

:47:44.:47:47.

politicians from the NHS, no offence intended, so there cannot be this

:47:48.:47:52.

constant reorganisation and change going on?

:47:53.:47:57.

We have got to go onto another point.

:47:58.:48:07.

It is about ensuring the care is wrapped around the individual. That

:48:08.:48:12.

is why the Care Bill is so important, it breaks down these

:48:13.:48:18.

politically led institutions and places them wrapped around, so that

:48:19.:48:25.

one person gets the dignity, attention, care and personal

:48:26.:48:31.

attention they need. That is the foundation of the bill we are taking

:48:32.:48:37.

three Parliament. The definition of success was meeting waiting times

:48:38.:48:41.

target and being in financial balance and we have set up this year

:48:42.:48:45.

a new chief inspector of hospitals who is going round, it will not be

:48:46.:48:48.

possible to be a good or outstanding hospital unless you have good or

:48:49.:48:55.

outstanding compassionate care. Patients need to be at the heart of

:48:56.:49:02.

what hospitals do. Jeremy talks the good talk. Patients, if they are at

:49:03.:49:08.

the heart of things, means not waiting more than four hours for

:49:09.:49:13.

accident and emergency, not queueing in an ambulance waiting to get in,

:49:14.:49:19.

not waiting for days rather than being at home. That is the problem

:49:20.:49:23.

with the ?3 billion wasted on a reorganisation nobody wanted. Let's

:49:24.:49:35.

have a question from Kelly Parker. With the UK jobless rate falling to

:49:36.:49:39.

a three-year low last week, why is it that youth unemployment remains

:49:40.:49:43.

above 20%? Lots of reasons. One of the things

:49:44.:49:49.

we had when we were in government is a guarantee for young people, if you

:49:50.:49:54.

were a graduate out of work for six months you will be guaranteed a job.

:49:55.:49:58.

The government idea of getting young people into work is just to get them

:49:59.:50:03.

stacking shelves, it is in a good -- it is inadequate. You need to give

:50:04.:50:07.

them skills making them attractive to employee. Apprenticeship schemes

:50:08.:50:13.

will be useful to the employer, the young person. Focus on 50% who don't

:50:14.:50:18.

go to university, vocational skills that will make them desirable to

:50:19.:50:23.

employers. Give young people the skills to make them attractive to

:50:24.:50:27.

employers. One of the great tragedies is the wasted talent

:50:28.:50:31.

amongst young people. I am in favour of a future jobs guarantee for a

:50:32.:50:35.

young person, if you are out of work for a year we will guarantee you a

:50:36.:50:39.

job with an employer, we will subsidise that, so they get benefits

:50:40.:50:49.

from the government, you will stop paying taxes, national insurance.

:50:50.:50:54.

Can you choose the league say you can guarantee a job? -- truthfully.

:50:55.:51:01.

Who are these employers? When you speak to small and medium-sized

:51:02.:51:07.

lawyers is the young people don't have the skills -- employers . The

:51:08.:51:19.

big concern and criticism is people from overseas taking these jobs.

:51:20.:51:27.

I am doing a four-year degree with a sandwich course right now and I am

:51:28.:51:31.

in my second year so looking for my placement. I go on websites where

:51:32.:51:36.

there are 70 placements for accounting and finance, only seven

:51:37.:51:41.

of those are written in north-west, they are all in London.

:51:42.:51:49.

Somebody earlier was saying move, would you move?

:51:50.:51:57.

I would . This all comes down to the downturn

:51:58.:52:03.

of industry, it has been eroded year after year. If we started, for

:52:04.:52:10.

example with nuclear energy, if we bought nuclear energy and the

:52:11.:52:14.

manufacture of nuclear plants back from a French company that would

:52:15.:52:22.

provide jobs. Employment is rising but employment among the young has

:52:23.:52:27.

stood still. You are always talking about young

:52:28.:52:30.

people needing skills and if they have got skills there will be a job.

:52:31.:52:36.

The jobs are not there. I have got a 28-year-old with a Masters degree,

:52:37.:52:44.

and she has got lots of skills, she has worked in Budapest, on the West

:52:45.:52:50.

Bank, she has worked for UNESCO in Paris for six-month is unpaid, she

:52:51.:52:54.

is now working in Japan on a three month contract teaching English. She

:52:55.:53:00.

cannot get a job in the UK. Use a move, the only time she has ever

:53:01.:53:05.

been able to move, she still cannot get a job that will pay for housing,

:53:06.:53:10.

so she goes and illegally sublets because that is the only way she can

:53:11.:53:14.

afford somewhere to live and a lot of her friends are in the same

:53:15.:53:18.

situation. They are trapped, they cannot move, the jobs are not there

:53:19.:53:22.

Trapped. Trapped. Jeremy Hunt?

:53:23.:53:38.

I was going to come to her point and explain the issue but I want to say

:53:39.:53:42.

this, it is not government that creates jobs, it is the private

:53:43.:53:50.

sector. Over the last three years 400,000 businesses have been

:53:51.:53:54.

created. That is why we have 1.1 million more people in employment

:53:55.:54:00.

than three years ago. There are some signs the tide is turning for youth

:54:01.:54:03.

unemployment. If you asked me what the single thing we could do that

:54:04.:54:06.

would make a big difference in this area, it is to make sure the skills

:54:07.:54:10.

people leave college or university with relevant to the jobs market. We

:54:11.:54:14.

did have a system where sometimes people getting certificate that they

:54:15.:54:18.

were not actually matched very well with the kind of things employers

:54:19.:54:24.

wanted. She seemed to have every qualification under the sun.

:54:25.:54:31.

I have been with her around Preston opening series and they say we do

:54:32.:54:41.

not want another one. -- CVs. We have let them down. What they come

:54:42.:54:47.

up with is a qualification that needs to be valued by employers.

:54:48.:54:51.

What is worrying is we have a situation where an opponent is

:54:52.:54:56.

falling, jobs are going up but it is not making a big dent in youth

:54:57.:55:01.

unemployment. We need to look at the education system and vocational

:55:02.:55:08.

education and apprenticeships. Nothing is worse than that

:55:09.:55:11.

experience of looking for a job and not being able to find it but in

:55:12.:55:14.

this area, the Northwest, there was better news. For instance, HS2,

:55:15.:55:25.

electrification. The airport development is bringing jobs, but

:55:26.:55:30.

also for greater Manchester there is a 5.8 million investment and it is

:55:31.:55:35.

specifically about helping people to get into work, young people in

:55:36.:55:40.

particular to get into work. As I said before, apprenticeships in this

:55:41.:55:46.

area, I am sorry that doesn't apply to your incredibly qualified

:55:47.:55:51.

daughter, but apprenticeships have gone up 90% since Labour were in

:55:52.:56:00.

power. I am sorry, since Labour left power. This is an important --

:56:01.:56:07.

important point with regard to the 50% that don't go to university, the

:56:08.:56:10.

gentleman raise that issue earlier, Ed Miliband talk about the 50% and

:56:11.:56:20.

he describes it as the rest, the people that almost don't matter

:56:21.:56:24.

ordered. We do count those of us who didn't go to university and the

:56:25.:56:30.

people that have done other ways to get into work.

:56:31.:56:35.

I want to bring in some people affected by this you haven't spoken

:56:36.:56:39.

yet. Don't stick your hand if you have spoken already.

:56:40.:56:46.

You say implement has gone up but what kind of jobs? Zero hours where

:56:47.:56:50.

people get 15 hours per week? Agency jobs? I have got employment agencies

:56:51.:57:00.

saying can you go down tomorrow only to find out it is a one-day

:57:01.:57:04.

contract. It is all right bashing Conservative

:57:05.:57:10.

policies and agree there are problems with part-time jobs but

:57:11.:57:15.

where will you get money from? The ads is borrowed money. Where will

:57:16.:57:22.

you get money from? Somebody who hasn't spoken from the older side.

:57:23.:57:34.

The jobs are fixed. Who can live on part-time jobs? The figures are all

:57:35.:57:43.

fixed. Are you sympathetic to the youth who cannot find jobs?

:57:44.:57:48.

Yes. The reason is people cannot get jobs

:57:49.:57:55.

the economy is structured wrongly. If you pay thousands of pounds to

:57:56.:58:00.

somebody pushing a mouse around a desk, and give the money to young

:58:01.:58:04.

people they will gain experience and we will all benefit.

:58:05.:58:15.

On that note we have two and. Our time is up. We will be in Falkirk

:58:16.:58:22.

next week, the Scottish government is posting its case for

:58:23.:58:25.

independence. The week after that we are in London. That is on the day of

:58:26.:58:32.

the prebudget report. If you want to come to either programme go to our

:58:33.:58:44.

website or you can call us. If you are listening to Radio five Live you

:58:45.:58:48.

can continue the debate, but my thanks to our panel, Tim Stanley and

:58:49.:58:53.

Joan Bakewell couldn't get here because the trainer didn't deliver

:58:54.:58:57.

them we will have them some other day. Thank you to this panel and all

:58:58.:59:08.

of you, over 60, and under 30. Thank you all very much, good night.

:59:09.:59:14.

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