19/05/2016 House of Commons


19/05/2016

Similar Content

Browse content similar to 19/05/2016. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

Good morning and welcome to BBC Parliament's live coverage of the

:00:12.:00:19.

House of Commons. Later, an urgent question by Steve double regarding

:00:20.:00:22.

the rights of parents to take their children on holiday during term

:00:23.:00:27.

time. That will be followed by a statement from Jeremy Hunt on the

:00:28.:00:32.

junior doctors contract. The main business is the continuation of the

:00:33.:00:37.

debate on the Queen's speech. It will concentrate on transport and

:00:38.:00:41.

infrastructure. Among the measures announced, a modern transport Bill

:00:42.:00:45.

covering new technology including driverless cars and the UK's

:00:46.:00:51.

possible first spaceport. And a bill to change the planning process and

:00:52.:01:03.

tackle the housing deficit. Before that, the leader of the house Chris

:01:04.:01:07.

Grayling will outline forthcoming business in the chamber and take

:01:08.:01:08.

questions from MPs. Order, order. Business question, Mr

:01:09.:01:39.

Chris Bryant. Will the leader of the house givers the business for next

:01:40.:01:46.

week. You will notice a notice of commonality in business next week.

:01:47.:01:50.

We will debate the Queen's speech. We will continue on Europe's human

:01:51.:01:58.

rights, keeping people safe home and abroad. Following, a debate on the

:01:59.:02:04.

Queen's speech on education, skills and training and finally an economy

:02:05.:02:10.

and work. Next Friday, the house is not sitting. The provisional

:02:11.:02:14.

business for the week commencing six to June will start on Monday with

:02:15.:02:19.

the remaining stages of a bill, one of the two main carry-over bills, to

:02:20.:02:24.

be confirmed next week. I should also inform the house that the

:02:25.:02:28.

statement on Syria that we had to move at the last moment will take

:02:29.:02:35.

place alongside the foreign affairs debate next Tuesday. The business

:02:36.:02:44.

for Westminster hall for 6th of June will include a debate on the

:02:45.:02:52.

restriction of the use of fireworks. If only the rules allowed me to take

:02:53.:02:58.

some interventions. I'm sure the thoughts of the whole house will be

:02:59.:03:01.

with the families and friends of those on the Egyptair flight 804

:03:02.:03:07.

which has disappeared over the Mediterranean. People will want to

:03:08.:03:12.

know what has happened. I hope that the leader will make sure the house

:03:13.:03:16.

is updated on all events because as I understand it, not least, because

:03:17.:03:23.

one Briton is on board. I think that was a sort of an apology for not

:03:24.:03:29.

given as the statement on Syria which was promised. Will it be

:03:30.:03:35.

separate from the debate? He has nodded, so we can move on. Can we

:03:36.:03:39.

have statement from the Foreign Secretary explaining he wanted

:03:40.:03:44.

General Sir Richard Sheriff court-martialed? As the general

:03:45.:03:52.

reports to Nato and not to him surely he should have been

:03:53.:03:55.

congratulated for stating that slashing troop numbers was a hell of

:03:56.:04:00.

a gamble and not threatened. I love a bit of dressing up, just as much

:04:01.:04:08.

as any other defrocked vicar. Almost as much as you, Mr Speaker. I did

:04:09.:04:19.

think yesterday it was a case of all fur coat and knickerbockers. The

:04:20.:04:30.

Queen announced that the government intended to tackle poverty to a room

:04:31.:04:36.

of Baroness 's and Countess is all dressed in ermine and jewels. The

:04:37.:04:42.

government announced that they would put the national citizen service

:04:43.:04:47.

which works six weeks a year on a statutory footing, while the nation

:04:48.:04:51.

youth service which works all year round has been slashed losing 2000

:04:52.:05:03.

workers, Kahlo 's is 350 youth centres -- closing 350 youth

:05:04.:05:07.

centres. Why not put the youth service on a statutory footing as

:05:08.:05:12.

well? That is what was truly awful about yesterday's Queen 's speech.

:05:13.:05:17.

It was pretending to be a one nation speech, it was dressed up as such. A

:05:18.:05:21.

Candy Frost reach if ever there was one. All sugar, whipped up with a

:05:22.:05:26.

hint of pink to make sure that we believe that passionate

:05:27.:05:31.

conservativism is still alive. The truth is, the Chancellor puts a

:05:32.:05:37.

stake through the heart of compassionate conservatives every

:05:38.:05:41.

time he stands at the dispatch box. Yes, let's reform the prison service

:05:42.:05:45.

but don't pretend that the horrendous state of our prisons with

:05:46.:05:51.

the rate of suicides, murders and nonnatural deaths at a high, with

:05:52.:05:55.

daily violence and drugs freely available as nothing to do with this

:05:56.:05:59.

government's assault on the prison service budget and the loss of 7000

:06:00.:06:06.

prison officers since 2010, largely on his watch. Let's improve adoption

:06:07.:06:10.

but let's not pretend that social services budgets in the poorest

:06:11.:06:14.

local authorities in the land are not so stretched that children are

:06:15.:06:21.

being put at risk every day. I'm sorry, Mr Speaker, you can say you

:06:22.:06:25.

want to tackle social problems in society until you are blue in the

:06:26.:06:29.

face but when you have paired public services to the bone, when you have

:06:30.:06:34.

inflicted the toughest cuts on the poorest communities and when you

:06:35.:06:38.

have systematically undermined the concept of public service, all your

:06:39.:06:43.

blandishments are nothing but a sugar-coating for a cyanide pill. I

:06:44.:06:50.

don't know what time you got up yesterday morning so I don't know if

:06:51.:06:54.

you caught the leader of the house on the today programme. He was

:06:55.:07:00.

trying to defend the former Mayor of London. He described him as a

:07:01.:07:09.

historian of making a historian's comment, as if it let them him get

:07:10.:07:14.

away with anything he wanted. The former mayor does have a habit of

:07:15.:07:20.

making up historical fact. My favourite one was his assertion that

:07:21.:07:25.

King Edward the second end joined a range of dissolution with his

:07:26.:07:31.

catamite Piers Galveston. I don't doubt that he liked a bit of Royal

:07:32.:07:37.

rumpy pompey but since he was beheaded 12 years before the palace

:07:38.:07:42.

was built it is pretty unlikely that he did so there. My only explanation

:07:43.:07:46.

for this so-called fact of the former Mayor of London was that he

:07:47.:07:50.

was a member of the Piers Galveston Society at Oxford with the Prime

:07:51.:07:53.

Minister where they got used to porkies. The short answer is, if the

:07:54.:08:01.

leader of the house was doing his business on the Today programme

:08:02.:08:06.

between six and 7am, I was in the swimming pool at the time. The

:08:07.:08:14.

Honourable gentleman is in danger of beheading himself because he has had

:08:15.:08:20.

five minutes. I think he is in his last sentence. Certainly in his last

:08:21.:08:25.

paragraph. I believe that the Prime Minister is going to the United

:08:26.:08:34.

States next week. I'm sure Donald Trump has a ticker tape welcome for

:08:35.:08:39.

him. When an international statesman like the leader of the house goes on

:08:40.:08:47.

international business. They always get hail to the Chief but I believe

:08:48.:08:52.

they have you Cadee sacks ready for him. A very serious point, all our

:08:53.:09:00.

good wishes go to the families who must be beside themselves with worry

:09:01.:09:05.

about what happened to the passengers on the Egyptair plane. A

:09:06.:09:10.

deeply worrying situation. If it turns out to be more than an

:09:11.:09:14.

accident, we will want to discuss that matter in the house. It is

:09:15.:09:19.

important to wait to see what the outcome of the investigations and

:09:20.:09:22.

our hearts go out to everyone involved. On the statement, it will

:09:23.:09:30.

be a separate statement we put it alongside the foreign affairs debate

:09:31.:09:33.

because those most likely to be concerned are likely to be there for

:09:34.:09:38.

the debate as well. Mr Speaker, he's such an old misery. Yesterday was

:09:39.:09:46.

Britain at its finest. Strong institutions, great tradition,

:09:47.:09:49.

things that make this great city one of the finest is not the finest in

:09:50.:09:54.

the world, a monocle should be proud of and a programme for government

:09:55.:09:58.

that is fulfilling the commitments me made to the elected last year. In

:09:59.:10:03.

an election that they lost and we won. We set out 21 new bills. It

:10:04.:10:09.

completes most of the manifesto we won the election on. It helps as

:10:10.:10:13.

achieve financial targets, to balance the books and complete the

:10:14.:10:17.

sorting out of the mess we inherited from the members opposite. Inc

:10:18.:10:23.

includes measures on prisons, is boosts the Digital economies and

:10:24.:10:29.

helps tackle terrorism. First of all, in the first 12 months, we have

:10:30.:10:36.

introduced a national living wage. We have seen unemployment at its

:10:37.:10:40.

lowest level since the 1970s. We have seen a fall of more than

:10:41.:10:47.

750,000 in the number of workless households. A change that means a

:10:48.:10:53.

transformational difference to many of our most deprived communities.

:10:54.:10:56.

The Conservative government sorting out the mess we inherited. He spoke

:10:57.:11:00.

about interventions and I have sympathy with him. He did better

:11:01.:11:06.

than his leader did yesterday. I thought, there is a man who spent 41

:11:07.:11:11.

minutes looking at the shoes of The People on this site rather than

:11:12.:11:17.

looking at his party leader making such an awful speech yesterday. Mr

:11:18.:11:22.

Speaker, I'm not sure he actually raised any other questions. I was

:11:23.:11:26.

grappling with trying to understand what he was going on about in the

:11:27.:11:30.

middle. We are at the start of a where we will deliver measures that

:11:31.:11:35.

will make a transformational difference to this country and a

:11:36.:11:38.

difference to our deprived communities making this country more

:11:39.:11:42.

secure economically and more secure against the national threats we

:11:43.:11:46.

face. I think it is worth, in a week when the YMCA named their latest

:11:47.:11:51.

building, Chris Bryant house after the famous Chris Bryant, not this

:11:52.:12:02.

one. I think we should pause for a moment to praise... LAUGHTER

:12:03.:12:11.

We should pause for a moment to praise the shadow leader. Here's a

:12:12.:12:15.

great champion of equalities in this place and he and I shared the

:12:16.:12:20.

ambition seeing more women elected to office. I'm delighted to see that

:12:21.:12:24.

his constituency is doing his bit by electing a woman to represent in

:12:25.:12:31.

Cardiff. In 2020, we might see a further step in that direction as

:12:32.:12:35.

well. On the subject of the shadow leader, can I congratulate him for

:12:36.:12:39.

stepping in to save the local calendar in Rhondda after the defeat

:12:40.:12:49.

of Leighton Andrews, perhaps he does have his own calendar girl in Leanne

:12:50.:12:50.

Wood. The controversial age tests -- HS2

:12:51.:13:03.

budget has been in the media over potential cuts to the scope of the

:13:04.:13:07.

project and the costs. The announcement for finalised phase two

:13:08.:13:11.

will not be until at least September, one your plate, is out of

:13:12.:13:14.

Italy blight on my constituents, can have an update on the progress of

:13:15.:13:18.

HS2 so that this house can get to know how big the white elephant has

:13:19.:13:24.

grown? I understand my honourable friend concern. His consistency

:13:25.:13:30.

faces challenges and benefits from HS2, which all parts of the economy

:13:31.:13:35.

in a way through infrastructure that will make a difference to jobs and

:13:36.:13:39.

the prospects of business. I understand the concerns. We have a

:13:40.:13:42.

debate today on transport but I will also make sure the secretary of

:13:43.:13:45.

state is aware of the has raised today. Thank you. Can I also think

:13:46.:13:51.

he would of the housework and is in the business for next week and pass

:13:52.:13:55.

on our best wishes for those caught up in the dictionary line issue and

:13:56.:13:57.

hope there is some sort of positive resolution. What a few weeks. We

:13:58.:14:03.

will have to spend most of our Times discussing this anaemic stuff in the

:14:04.:14:09.

Queen's speech when all they want to do is knock lumps out of each other

:14:10.:14:12.

for the EU reference. The debate in the Tory party is hardly reaching

:14:13.:14:17.

Churchillian standards of discourse, it is apparently all but insults,

:14:18.:14:23.

personal attacks and tabloid smears according to the member for Wycombe

:14:24.:14:28.

this morning on the radio. I know my friends are already considering our

:14:29.:14:30.

amendments for the driverless cars built, most involving blocking this

:14:31.:14:35.

Tory Government into that vehicle and heading towards the nearest

:14:36.:14:40.

cliff edge. The Scotland Bill yesterday in the Queen's speech got

:14:41.:14:45.

22 words. That is doing quite well for what we usually get. It might be

:14:46.:14:52.

a one nation Queen's speech, but one of these nations are certainly is

:14:53.:14:57.

not Scotland. We still have not secured a statement from this

:14:58.:15:00.

governance concerning all of the quite explosive evidence about the

:15:01.:15:03.

Conservative Party submission to the mission on the conflict between

:15:04.:15:06.

national and local spending when it comes to the last election campaign.

:15:07.:15:10.

There are 14 police forces investigating this alleged electoral

:15:11.:15:16.

Ford Dott fraud but would not read anything from the Government. In the

:15:17.:15:20.

Telegraph they said why the Tories won, the inside story of the 2015

:15:21.:15:25.

election, which said buses were critical to moving party troops from

:15:26.:15:28.

where they live to where the swing voters could be found. The central

:15:29.:15:33.

party paid for all the buses and trains as well as hotels and

:15:34.:15:36.

hostels. We know after year and urgent statement from this, about

:15:37.:15:39.

what they do when it comes to this and lastly, can we perhaps have a

:15:40.:15:45.

debate on World War II? Then it would allow all the senior vendor 's

:15:46.:15:51.

-- members to indulge their passion in talking about Hitler because

:15:52.:15:55.

you're about all of the dodgiest trees and the spurious examples and

:15:56.:15:59.

perhaps it would take my eyes off the raging civil wars. -- dodgy

:16:00.:16:05.

histories. Come first thing the honourable gentleman for his

:16:06.:16:09.

comments about the Egyptian plane. At all of us wait with hope and

:16:10.:16:17.

trepidation about what has happened. I am really not sure this is the

:16:18.:16:20.

week for the Scottish National Party to be talking about stories in the

:16:21.:16:27.

tabloids. I have read the news, there has to be something in the

:16:28.:16:32.

water in Scotland. As you remember me telling the house a few months

:16:33.:16:36.

ago, the honourable member for the Western Isles wrote about recess

:16:37.:16:39.

dates because he wanted to quickly ran in with the news. At that time I

:16:40.:16:46.

thought he was talking about sheep. Mr Speaker, the Queen's speech was a

:16:47.:16:56.

powerful package for this country. It is a powerful package that will

:16:57.:17:03.

deliver change to Scotland and the entirety of the UK, including

:17:04.:17:06.

important measure of our economy and security. The SNP cannot have it

:17:07.:17:13.

both ways. It cannot come on the one hand, demand and secure for greater

:17:14.:17:18.

powers for the party in Edinburgh and a far greater powers for the

:17:19.:17:22.

nation of Scotland and complain it is not actually getting a huge range

:17:23.:17:26.

of measures in the Queen's speech. We are looking to how the SNP are

:17:27.:17:30.

actually going to use the powers. Yesterday we heard a leader of

:17:31.:17:33.

Westminster was up again saying we want more powers from Scotland,

:17:34.:17:37.

perhaps they might like to use the powers they got the first place? I

:17:38.:17:42.

would on the subject of Scottish assembly and Scottish Parliament and

:17:43.:17:45.

the Scottish administration, I would like to congratulate the First

:17:46.:17:47.

Minister of Scotland on a real election and I would like to

:17:48.:17:52.

congratulate Ruth Davidson on depriving the Scottish National

:17:53.:17:55.

Party of their majority in the Scottish Parliament and we will be

:17:56.:17:59.

an effective opposition to the SNP and an effective unionist opposition

:18:00.:18:03.

to the SNP and we want told them to account to use the they've been

:18:04.:18:07.

given in the interests of Scotland and if they don't do so we will

:18:08.:18:15.

defeat them. The last point is, he raises about election matters, they

:18:16.:18:17.

are for the appropriate authorities, not for the Government. Can we have

:18:18.:18:26.

a debate on the BBC and its relationship with the European

:18:27.:18:28.

Union, particularly in relation to its coverage of the European Union?

:18:29.:18:33.

It was revealed in which the magazine this week that the BBC has

:18:34.:18:41.

received ?2.1 million from the EU between April 2013 and September

:18:42.:18:48.

2015, this is on top of at least ?141 million in soft loans from the

:18:49.:18:54.

European investment bank and on the European investment bank's website

:18:55.:18:56.

it says the European investment bank is the European Union's bank and we

:18:57.:19:02.

work closely with other EU institutions to implement EU policy.

:19:03.:19:05.

That is the only basis on which you get one of these loans. Surely these

:19:06.:19:10.

things should be declared by the BBC whenever they do anything to cover

:19:11.:19:14.

the EU referendum. Can we have a debate on this and perhaps a little

:19:15.:19:17.

of the house can tell us if he's agreed to BBC staff to -- should

:19:18.:19:23.

have to declare this? My honourable friend made his point with his

:19:24.:19:27.

customary effectiveness. I've no doubt the BBC will be listening

:19:28.:19:29.

carefully to this comment and if nothing else will ensure they go

:19:30.:19:34.

even further out of their way to try and make sure they are impartial in

:19:35.:19:40.

this referendum campaign. Can the leader explained perhaps we can have

:19:41.:19:43.

a statement the difference between the way in which the 1975 referendum

:19:44.:19:48.

was held in which ministers disagrees, there was no bitterness,

:19:49.:19:55.

it was argued on very important grounds and, as I say, without

:19:56.:19:59.

personal attacks. And the present way in which Government members,

:20:00.:20:06.

cabinet members and other members of the Government and its supporters

:20:07.:20:08.

have such bitterness and strife and rancour between them over the

:20:09.:20:16.

question of whether we Remain Leave. It is uncivilised and totally unlike

:20:17.:20:22.

in 1975. I found myself this morning sitting and writing a short piece

:20:23.:20:25.

about social reform alongside my deputy from a different side of the

:20:26.:20:29.

arguments, and I can assure you we are still best friends, unlike both

:20:30.:20:32.

people in the Labour Party who appear to be buried to know if their

:20:33.:20:38.

leader in the back. -- appear to be prepared to knife. Can we have a

:20:39.:20:42.

debate on the extremely important antimicrobial resistance report that

:20:43.:20:46.

came out this morning. This report was initiated by the Prime Minister

:20:47.:20:50.

and Chancellor and is vital. I know my honourable friend from your cows

:20:51.:20:56.

as a spoken eloquently on this but it is vital and we need to discuss

:20:57.:20:59.

the terrifying prospect of antimicrobial resistance increasing

:21:00.:21:05.

over the years as soon as possible. Can I just say my honourable friend

:21:06.:21:10.

makes a very important point indeed. We this house on political matters,

:21:11.:21:14.

this is something that affects all of us and it's a matter of great

:21:15.:21:17.

concern to country and the world as a whole. It is a serious issue and

:21:18.:21:23.

we will debate on Monday on public services and much the option to

:21:24.:21:26.

discuss this in this house with the section of state. If not, something

:21:27.:21:31.

that we should certainly look to return to. In the last month there

:21:32.:21:39.

have been 11 serious stabbings involving young people in my

:21:40.:21:44.

borough. There have been 114 incidents of serious youth violence

:21:45.:21:52.

in Lambeth and 2300, over that, across London. This is a crisis

:21:53.:21:57.

situation. It is nationwide, it has been occurring for several months

:21:58.:22:01.

and yet it did not merit a single mention by the Prime Minister in his

:22:02.:22:05.

remarks in this house yesterday in respect of the forthcoming agenda of

:22:06.:22:10.

this Government. With the leader of the house arrange for a statement to

:22:11.:22:13.

be given now on whether the Government will agree to what will I

:22:14.:22:16.

and many members of his house on both sides have been calling for,

:22:17.:22:20.

proper independent cross-party commission into this issue, because

:22:21.:22:24.

right now to many of my constituents it does not look like this

:22:25.:22:27.

Government cares about what is happening on our streets. Firstly, I

:22:28.:22:32.

agree with the honourable gentleman about this seriousness. I disagree

:22:33.:22:40.

with not taking it seriously we have sought to both tighten the law, and

:22:41.:22:44.

I did some of that myself when I was just a section we are seeking during

:22:45.:22:47.

gays young people. Yesterday's Queen's speech included are plans to

:22:48.:22:54.

extend and solidify the National citizens survey. -- to engage young

:22:55.:23:00.

Biba. The no young people. I want to pay to be to the voluntary sector,

:23:01.:23:04.

some part -- fantastic project in London sing to engage young people.

:23:05.:23:08.

This is an issue we will come back to and I will make sure the onset is

:23:09.:23:11.

aware of the requests made this morning and I can only assure that

:23:12.:23:18.

we take it seriously indeed. I am the chairman of the all-party

:23:19.:23:24.

Parliamentary group and earlier this month the peninsular real task force

:23:25.:23:32.

ended publishing its initial proposals and is available for

:23:33.:23:35.

public consultation into the 27th of May. Can we have a debate after that

:23:36.:23:40.

has happened so that Southwest members of Parliament can make sure

:23:41.:23:43.

that the apartment of transport understands excelling what we want

:23:44.:23:49.

in the south-west. I am well aware of the challenge that we face with

:23:50.:23:53.

rail in the South West, had the difficult experience a couple years

:23:54.:23:57.

ago of the line being washed away and extended period when it was

:23:58.:24:01.

closed. I know this is something transport planning to take seriously

:24:02.:24:04.

and I pay tribute to the work he is doing is making sure this is kept

:24:05.:24:07.

firmly on the desk of ministers. I would remind him that there is offer

:24:08.:24:12.

the statement this morning an opportunity for him to raise that

:24:13.:24:15.

issue in the debate on transport and I were advising to do that. Last

:24:16.:24:21.

Thursday after Parliament had been prone to the Government published

:24:22.:24:25.

the pure review reports on the deaths of 49 Social Security

:24:26.:24:30.

claimants who died between 2012 and 2014. This was after ministers had

:24:31.:24:35.

denied they had any records on people whose deaths had been linked

:24:36.:24:40.

to the Social Security system. Given the gravity of this matter and that

:24:41.:24:44.

this is the second time that data has been released on the deaths of

:24:45.:24:49.

Social Security claimants well Parliament was in recess when will

:24:50.:24:55.

the leader of the house arrange for a statement to this house on what

:24:56.:24:58.

action has been taken to address the recommendations in these reports? Of

:24:59.:25:04.

course, she will have the option to to raise this issue next Thursday

:25:05.:25:08.

when there is a debate on work and welfare matters in this house, then

:25:09.:25:10.

sure she will take option to do that. -- take the opportunity. In

:25:11.:25:20.

yesterday's speech I was pleased to see a higher education Bill

:25:21.:25:23.

announced in enabling more universities to be built, increased

:25:24.:25:26.

participation from deprived families and also increase diversity

:25:27.:25:32.

reporting as well. Can my honourable friend update house as to when the

:25:33.:25:37.

technical consultation on the Dott this will be announced, particularly

:25:38.:25:40.

for the university sector and timescales for the debate other than

:25:41.:25:44.

Wednesday next week? I do not know the dates of the technical

:25:45.:25:48.

consultation, but what I can tell my honourable friend is that the higher

:25:49.:25:52.

education Bill will be brought before this house shortly and it

:25:53.:25:57.

will be one of the early bills to come for debate in this session and

:25:58.:26:01.

I've no doubt one of my -- Mike honourable friend will want to make

:26:02.:26:05.

debate in this discussion. Can we have a statement from the old sexy

:26:06.:26:08.

next week on the plight of the brain family from Dingwall. -- Home

:26:09.:26:17.

Secretary. They have been threatened with deportation. This young family

:26:18.:26:19.

came to Scotland five years ago under the fresh talent initiative,

:26:20.:26:25.

they have contributed massively of the money and efforts to the

:26:26.:26:28.

community, self-supporting, contributing to community efforts

:26:29.:26:32.

including the young son Loch Long, seven years old, who has known no

:26:33.:26:36.

other war between what is first language is Scots Gaelic. Does the

:26:37.:26:44.

net two member of the house feel no shame that his family -- party's

:26:45.:26:52.

committee a huge disservice against this young family and the B+

:26:53.:26:55.

coloured? On the individual case I do not know the circumstances and

:26:56.:27:00.

and I will draw his commerce to the Home Secretary's comments this

:27:01.:27:04.

morning. I would say it's important to remember that if people do, for a

:27:05.:27:08.

temporary period it does not automatically mean that the end of

:27:09.:27:12.

that period they will have the right to stay. That is an important thing

:27:13.:27:15.

to remember when we deal with these cases.

:27:16.:27:24.

I wish to raise the case of a 38-year-old student from Lahoz who

:27:25.:27:32.

wants to leave her family to complete her Ph.D. At the London

:27:33.:27:39.

School of theology. Her Visa has been turned down despite the backing

:27:40.:27:44.

of her bishop in this country. Will the leader make time for a statement

:27:45.:27:49.

for these processes for genuine academic candidates so these can be

:27:50.:27:54.

resolved. It seems to be a pattern of Middle Eastern Christians put

:27:55.:28:00.

into bad circumstances and not evaluated very well. I cannot

:28:01.:28:04.

comment on the individual case because I don't know the

:28:05.:28:08.

circumstances. We don't have home of his questions for a little while so

:28:09.:28:12.

the best thing for me to do is to draw the Home Secretary's attention

:28:13.:28:16.

to the case and asked the Home Office to deal with him directly on

:28:17.:28:23.

it. The leader of the house has said that the government's intention is

:28:24.:28:27.

to make the UK more secure economically and in light of that

:28:28.:28:32.

could we have a debate in this house on farm gate prices in relation to

:28:33.:28:37.

the regional differentials between farm gate prices in Northern Ireland

:28:38.:28:43.

and in Britain. Farmers in Northern Ireland are being placed at a severe

:28:44.:28:50.

financial disadvantage. Mr Speaker, I don't know enough about the detail

:28:51.:28:55.

of the case she has raised. Perhaps she would write to me and I will

:28:56.:28:59.

make sure she gets a proper response. I don't have detailed

:29:00.:29:02.

knowledge of the farm gate situation in Northern Ireland but I will be

:29:03.:29:06.

happy to give a proper response to that question. On the front line of

:29:07.:29:13.

security in this nation armed police officers are put in dangerous

:29:14.:29:16.

circumstances and have to make a decision in a split second. If they

:29:17.:29:21.

are forced to make that decision, Babin face months of scrutiny on

:29:22.:29:25.

whether that decision was right or wrong. Can we have a debate on the

:29:26.:29:30.

process of analysing those decisions under scrutiny officers are put

:29:31.:29:36.

under. My honourable friend makes an important point. We are currently

:29:37.:29:41.

recruiting 1000 new armed officers as an essential part of the strategy

:29:42.:29:46.

we have two, terrorism in this country. It is really important that

:29:47.:29:54.

we make sure that if an incident does take place involving an armed

:29:55.:30:03.

officer, we must check the circumstances, we must not get into

:30:04.:30:07.

a situation where people do not want to be armed officers because they

:30:08.:30:10.

are worried about the consequences for themselves. The NHS action plan

:30:11.:30:21.

on hearing loss, does the leader of the house have an idea when that

:30:22.:30:26.

might be published. A number of hours will be bidding for an

:30:27.:30:31.

adjournment debate to debate this. It is good news for the 3 million

:30:32.:30:36.

hard of hearing or deaf people in the UK. It would be really good to

:30:37.:30:41.

see the government leading from the front on this. I know the government

:30:42.:30:45.

is working on this. I don't have a date yet but I'm sure he will want

:30:46.:30:50.

to fully update the house. I suspect it will be the Department of Health

:30:51.:30:58.

who will inform Parliament as widely as possible. It may well end up

:30:59.:31:06.

being debated. I should just, actually, if I might, to the future

:31:07.:31:12.

chairman of the backbench business committee of the commiseration for

:31:13.:31:14.

the events of the last couple of weeks. We knows? You may bounce back

:31:15.:31:24.

quickly. The humanitarian crisis in north-east Syria is becoming worse

:31:25.:31:30.

with age unable to reach the region. A kilo of sugar is ?1000. Isis,

:31:31.:31:42.

while on the back foot and Daesh while on the back foot still

:31:43.:31:46.

controls the only road with access to the region. Would the leader of

:31:47.:31:54.

the house allow a debate or a statement on this vital matter.

:31:55.:32:01.

Could I say that I was cheering for Newcastle on Sunday and how

:32:02.:32:05.

magnificent it was to see them beat Tottenham 5-1 in sure that Arsenal

:32:06.:32:10.

finished above Tottenham on the last day of the season. Mr Speaker,

:32:11.:32:22.

you've made yourself in normal enormously popular with one part of

:32:23.:32:25.

north London and enormously unpopular with another. I suspect

:32:26.:32:30.

you knew that. We will have a statement on north-east Syria next

:32:31.:32:34.

Tuesday. If there are areas not satisfactorily covered in the eyes

:32:35.:32:38.

of the honourable gentleman in that debate, we have the foreign affairs

:32:39.:32:43.

debate that follows. There will be an opportunity to raise what are

:32:44.:32:47.

immensely serious issues. They are difficult to address from here but I

:32:48.:32:51.

remind him that we are the second largest international donor to the

:32:52.:32:57.

different groups providing humanitarian support to those

:32:58.:33:00.

affected by the Syrian war. As football seems to be the theme, I'm

:33:01.:33:07.

sure the leader of the house would congratulate Partick Thistle on

:33:08.:33:13.

their 140th anniversary. When will the government published its

:33:14.:33:19.

response to the select committee's report on private members bills.

:33:20.:33:22.

When will we have a debate on the recommendations of that report? I am

:33:23.:33:28.

very happy to congratulate Partick Thistle on their anniversary. I'm

:33:29.:33:32.

sure he will be looking forward to a successful season next season,

:33:33.:33:35.

probably in the stands many Saturdays. In response to the

:33:36.:33:43.

procedure committee report on private members bills, we will be

:33:44.:33:48.

responding in the appropriate time frame which I think is by the 12th

:33:49.:33:57.

of June. According to Samaritans, 4722 people took their life in

:33:58.:34:03.

suicides in England in 2015. Whilst this trend is in a 30 year decline,

:34:04.:34:08.

in recent years it has worryingly been rising again to the highest

:34:09.:34:15.

levels since 2004. Can we have a debate on the implementation of the

:34:16.:34:19.

government's suicide prevention strategy for England and how the

:34:20.:34:25.

government might assist further the prevention of people taking their

:34:26.:34:31.

lives in suicide? This is, of course, a very serious issue,

:34:32.:34:35.

particularly among young men where we are seeing a real upwards trend

:34:36.:34:40.

in recent times. It is a focus for the government and one of the

:34:41.:34:42.

reasons we are putting more resources into providing a per medal

:34:43.:34:49.

haul -- proper mental health support. The Health Secretary will

:34:50.:34:54.

be here on Monday for the public services debate and I encourage him

:34:55.:34:58.

to bring up the subject in that debate so it remains in the sight of

:34:59.:35:03.

the Department of Health. Was the honourable gentleman here at the

:35:04.:35:09.

start of business? I was answering a call of nature, Mr Speaker. They

:35:10.:35:20.

give me. -- forgive me. I was at Saint James 's Park for the calamity

:35:21.:35:26.

on Sunday. Forgive him, he's a Tottenham supporter. Can we find

:35:27.:35:32.

time for debate on garden waste collection. In the borough of

:35:33.:35:38.

Harrow, the council has decided to charge the resident ?40 for six

:35:39.:35:44.

months and the collections aren't even being made. I receive

:35:45.:35:48.

complaints on a daily basis about this. It is time we raised the issue

:35:49.:35:53.

in the house so we can comment on the calamity of some of the rubbish

:35:54.:35:58.

collections in this country. I understand how frustrating it is for

:35:59.:36:02.

him and constituents but in his guise as the deputy chairman of the

:36:03.:36:06.

backbench business committee he is better placed than anyone to bring

:36:07.:36:09.

forward such a debate and I'm sure he will do. Kirsty Osborne. People

:36:10.:36:18.

are concerned about the new body armour that they are being issued.

:36:19.:36:24.

They can't get up if they fall down. They can't get it in on in the dark.

:36:25.:36:31.

Why issue kit to soldiers in the first place that puts soldiers in

:36:32.:36:37.

jeopardy? Can we have a system question on how systems have been

:36:38.:36:41.

failed. Can we have a procurement changed to stop this happening

:36:42.:36:46.

again? The honourable lady raises a serious issue. Apart from the Syria

:36:47.:36:54.

statement, there will be a defence debate on Saturday afternoon. It is

:36:55.:36:59.

something she may wish to bring to their attention at that point. I

:37:00.:37:06.

find myself in the curious position of echoing the honourable member for

:37:07.:37:09.

Shipley. It is entirely coincidental. Can we have a debate

:37:10.:37:18.

on the BBC White Paper. The statement took place before

:37:19.:37:22.

publication last week and there is considerable disquiet about the

:37:23.:37:25.

government's ideological moments and the ability to pack the unitary

:37:26.:37:32.

board with friends who could have a direct influence on the editorial

:37:33.:37:37.

policy of the BBC. The proposed unitary board of the BBC is not

:37:38.:37:43.

responsible for editorial policy. The director-general remains

:37:44.:37:46.

responsible for editorial policy. The impact and influence of the

:37:47.:37:52.

board is after broadcast and not before broadcast which is a weight

:37:53.:37:55.

has been in the past and should continue. Legislation will be

:37:56.:38:00.

debated in this house and there will be plenty of opportunities to

:38:01.:38:03.

question the Secretary of State before we get anywhere near

:38:04.:38:09.

chartering Newell. My local authority Cheshire West, along with

:38:10.:38:12.

Warrington and Cheshire East councils is currently locked in

:38:13.:38:16.

talks about a devolution deal for the area. I welcome it in principle

:38:17.:38:21.

but there seems to be a strange insistence on elected mayors. The

:38:22.:38:26.

area we are talking about is so broad and large, bordering North

:38:27.:38:29.

Wales on one side and greater Manchester on the other and I

:38:30.:38:33.

question the suitability of a mayor for an area so large. Can we have a

:38:34.:38:40.

debate on the need for elected mayors in areas quite so large? We

:38:41.:38:50.

are offering additional powers for devolved communities but we need

:38:51.:38:58.

them to come forward with proposals for structures for local government.

:38:59.:39:02.

The one thing they have in common is that we have to have confidence they

:39:03.:39:05.

can deliver what is necessary and I'm sure that's no different in

:39:06.:39:13.

Cheshire. I have a constituent Elaine who has a hereditary muscle

:39:14.:39:20.

wasting paraplegic condition. Despite being in her early 20s, she

:39:21.:39:31.

didn't qualify for PRP. Half of all awards like this are for three years

:39:32.:39:34.

or less. People with muscle degenerative diseases undergo

:39:35.:39:40.

continuing assessment which is cruel and a waste of money. Can we have an

:39:41.:39:52.

impact on PRP and its distribution? Issues like this are immensely

:39:53.:39:56.

serious and problematic for those affected. I would remind him that in

:39:57.:40:00.

Scotland of these are devolved matters and perhaps this is the

:40:01.:40:09.

wrong forum for debate. Urgent question, Steve double. To ask the

:40:10.:40:18.

secretary of education where the should be a debate on the right of

:40:19.:40:21.

parents to take their children on holiday during term time. The High

:40:22.:40:31.

Court judgment represents a significant threat to one of the

:40:32.:40:35.

government's significant achievements in education, improving

:40:36.:40:38.

school attendance. For this reason, the government will do everything in

:40:39.:40:42.

its power to allow headteachers to keep children in school. There is

:40:43.:40:47.

abundant academic evidence that says that one of the single strongest

:40:48.:40:50.

determinants of academic success is attendant in school. Even a week off

:40:51.:40:55.

in school at secondary school can have a significant impact on GCSE

:40:56.:41:02.

grades. This can have a great damage to life chances. That is why we have

:41:03.:41:08.

pursued a zero tolerance policy on unauthorised absence. We have

:41:09.:41:12.

increased fines, issued summons on parents with continued absences.

:41:13.:41:18.

Crucially, we have clamped down on the practice of taking term time

:41:19.:41:23.

holidays. These measures have been a striking success. The number of

:41:24.:41:27.

persistent absentees in this country's schools has dropped by

:41:28.:41:34.

over 40% from 433,020 ten to 246,020 15. Some 4 million fewer days were

:41:35.:41:40.

lost due to unauthorised absences today compared to 2012-2013. Overall

:41:41.:41:46.

absence rates have followed a significant downward trend from 6.5%

:41:47.:41:53.

in the academic year ending 2000 and in the academic year ending 2015.

:41:54.:41:59.

These mean that pupils are spending many more hours in school being

:42:00.:42:03.

taught the knowledge and skills they need to succeed in life. For this

:42:04.:42:10.

reason we amended the 2006 attendance regulations in 2013.

:42:11.:42:15.

Previously, special circumstances could permit a holiday in term time

:42:16.:42:22.

for up to ten days per year. Of course, the need to take time off

:42:23.:42:25.

school in exceptional circumstances is important but there are no

:42:26.:42:31.

circumstances in which a 10-day holiday to Disney World should trump

:42:32.:42:35.

the importance of school. The rules should apply to everyone. Parents

:42:36.:42:41.

are being come to take their children out of school and go to

:42:42.:42:44.

Florida it sends a message to everyone that school attendance is

:42:45.:42:47.

not important. This is a measure that has been welcomed by teachers

:42:48.:42:51.

and schools, unauthorised absences don't just affect the child that is

:42:52.:42:56.

absent, they damage everyone's on education as teachers find

:42:57.:43:00.

themselves having to play catch-up. For the absent children themselves

:43:01.:43:03.

because learning is cumulative, you cannot understand the division of

:43:04.:43:08.

fractions if you have not understood their multiplication. You can't

:43:09.:43:15.

understand why World War I ended if you don't know why it started and

:43:16.:43:17.

you can't enjoy the second half of the novel if you haven't read the

:43:18.:43:21.

first. If a vital block of proves -- prerequisite knowledge is lost in

:43:22.:43:24.

April it won't be understood in May. That is the recently given the

:43:25.:43:37.

schools the power to set their own term dates in a way that works for

:43:38.:43:40.

their parents and local communities. Already schools such as Hatton

:43:41.:43:46.

College in London are doing just this. In areas of the country such

:43:47.:43:50.

as the south-west were large number of the local population are employed

:43:51.:43:53.

in the tourist industry is nothing to stop schools from clubbing

:43:54.:43:58.

together and collectively change or extending the dates of their summer

:43:59.:44:04.

holidays or doing so as part of the multi-cabinet trust, and that the

:44:05.:44:06.

Government would encourage them to do so. Just about to conclude? We

:44:07.:44:14.

are now awaiting me were written judgment from the High Court that

:44:15.:44:17.

will outline our next steps in due course. The house should be assured

:44:18.:44:21.

we will seek to take whatever measures are necessary to give

:44:22.:44:25.

schools and local authorities the power and clarity to ensure that

:44:26.:44:28.

children attend school when they should. I do thank the Minister for

:44:29.:44:36.

his answer, however there is another aspect of this policy that sadly, to

:44:37.:44:42.

date, has been ignored, the economic impact this policy is having an

:44:43.:44:46.

poorest areas, particularly in Cornwall. In 2014 report published

:44:47.:44:51.

indicated the tourist industry in Cornwall had lost ?50 million as a

:44:52.:44:55.

result. I would say to the Minister that there is nothing socially more

:44:56.:44:58.

well for a family if your parents lose their job or have their hours

:44:59.:45:02.

cut because of the downturn in the tourist industry and the way it

:45:03.:45:07.

affects their job. I would also put the Minister that is another case

:45:08.:45:12.

that only 8% of school absentees is a result of family holidays at when

:45:13.:45:16.

you look at the attainment of those children, there is no drop-off in

:45:17.:45:21.

the attainment and family holidays are good for children, they widen

:45:22.:45:25.

their knowledge of the world and expose them to new experiences and

:45:26.:45:29.

children his family taken on holiday often perform better as a direct

:45:30.:45:33.

result. Can I ask the Minister to please look at this again and if he

:45:34.:45:37.

is going to bring forward measures to tighten these rules or strengthen

:45:38.:45:40.

them, can you assure the house there will be a full debate in this

:45:41.:45:44.

chamber on this occasion that it will not be secondary legislation

:45:45.:45:47.

and this time there will be a fool impact assessment carried out

:45:48.:45:53.

including the economic impact on the tourist industries is antifamily

:45:54.:45:58.

test will be applied to this measure and that a full public consultation

:45:59.:46:03.

will take place that considers the impact on all stakeholders, not just

:46:04.:46:06.

education, but the wider society and families especially. Thank you. In

:46:07.:46:17.

answer that two to that specific question, before 20 31st family

:46:18.:46:22.

holiday is made up between five and 6% of people absences. That figure

:46:23.:46:29.

has dropped to 2.3% in 2013-14 and 1.2% in 2014-15. I don't believe,

:46:30.:46:38.

with the greatest of respect, that we should be returning to the

:46:39.:46:42.

Dickensian world where the needs of industry and commerce take

:46:43.:46:46.

precedence over the education of children. Mike honourable friend's

:46:47.:46:53.

constituency is in the beautiful county of Cornwall and has accuses

:46:54.:46:58.

zestful and thriving tourist industry. -- hugely successful. It

:46:59.:47:03.

generates about ?2 billion of income for the UK economy. I doubt that the

:47:04.:47:08.

Cornish tourist industry will be best pleased by my honourable

:47:09.:47:15.

friend's assertion that tourism in Cornwall is dependent on treating

:47:16.:47:21.

children for its survival. -- true wanting. Another week, another

:47:22.:47:27.

crisis for the Department Frederick. Ministers need to get a grip. Their

:47:28.:47:31.

with school structures means they focus on the wrong issues mean they

:47:32.:47:36.

failed to deal with the bread-and-butter issues that matter

:47:37.:47:40.

to parents. All evidence shows that regular attendance is crucial to

:47:41.:47:45.

ensuring children fulfil their potential, 100% attendance records

:47:46.:47:48.

should be the ambition of all children in schools but this problem

:47:49.:47:52.

is of the Government's on making. Changing the diet instead teachers

:47:53.:47:56.

back in 2013, they should have done a fool impact assessment much

:47:57.:48:01.

earlier and acted to address concerns. The honourable member

:48:02.:48:04.

letter Westminster debate on the 50,000 strong position in the

:48:05.:48:07.

autumn, the Government said then they would look at the concerns

:48:08.:48:11.

raised, they've known this ruling is coming for a long time, they could

:48:12.:48:14.

have clarified the drop and they haven't. This ruling is now the

:48:15.:48:18.

worst of both worlds, it puts parents and head teachers in a

:48:19.:48:22.

difficult position and is not the best interests of children. By and

:48:23.:48:26.

large the system to 2012 with head having some discretion was working

:48:27.:48:31.

welcome parents and headteachers had a clear signal children should be in

:48:32.:48:36.

school. Headteachers know their parents and school community well

:48:37.:48:42.

and they are accountable for their children and school should have

:48:43.:48:44.

appropriate discretion. Will the Minister pledged to work with all

:48:45.:48:49.

interested parties across this house and outside this house to clarify

:48:50.:48:54.

the law in the interests of pupils, schools and parents. We pledge to

:48:55.:48:58.

work with him on that. The reality is that ministers have been asleep

:48:59.:49:01.

at the wheel, focusing on the wrong issues when we have teacher

:49:02.:49:07.

shortages and problems in primary assessment and it is time to the

:49:08.:49:11.

ministers to take their heads out of the sand and deal with these

:49:12.:49:14.

fundamental issues rather than fixating on school types and the

:49:15.:49:18.

expense of raising schools to hundreds. Will he do that now? I

:49:19.:49:26.

listen carefully but I feel that this is not on the same side as we

:49:27.:49:29.

are when it comes to raising schools to hundreds and improving school

:49:30.:49:36.

attendance is absolutely key to raising academic standards. What

:49:37.:49:40.

happened under the last Labour Government that it became accepted

:49:41.:49:43.

wisdom that parents could take their children out of school for term temp

:49:44.:49:48.

holidays throughout the ten days a year. Those numbers were causing an

:49:49.:49:52.

issue for us, we have to address the problem that we inherited from last

:49:53.:49:58.

Labour Government. Order. Let me say the Minister of State is going about

:49:59.:50:03.

his duty in the conscientious way we've come to expect. There is a

:50:04.:50:09.

significant number of young children observing our proceedings this

:50:10.:50:14.

morning and I doubt rather whether they will be greatly impressed by

:50:15.:50:19.

the deputies on each side of the house conducting a kind of a verbal

:50:20.:50:25.

tug of war from which each of them should desist. Partly in

:50:26.:50:28.

consideration of the children and partly out of respect for the

:50:29.:50:32.

Minister of State from whom we should hear! I am most grateful. As

:50:33.:50:40.

I was saying, under the last Labour Government it had become accepted

:50:41.:50:44.

wisdom that parents could take their children out of school for term temp

:50:45.:50:47.

holidays for up to ten days a year and we had to address that popular

:50:48.:50:51.

perception. That's why the regulations were changed in 2013. In

:50:52.:51:00.

2012 32.7 million people days were lost due to authorised absences,

:51:01.:51:05.

which is formed 28.6 point 6,000,020 14-15, that some 4 million fewer

:51:06.:51:10.

people school days lost as a consequence of those changes to the

:51:11.:51:14.

2013 make relations. That is a huge success that I wish the honourable

:51:15.:51:22.

gentleman would support that change. Can I ask the minister if he would

:51:23.:51:26.

agree with me that taking children out of school to come to the mother

:51:27.:51:31.

of all parliaments and learn about our democracy as one thing but

:51:32.:51:37.

taking them to land, Florida, in another. And, well, the work --

:51:38.:51:44.

rigger he's broken two brought to the subject of education and does he

:51:45.:51:49.

agree that if this country will succeed it needs to take education

:51:50.:51:54.

seriously. My honourable friend is right. This is about social justice.

:51:55.:51:59.

When parents with income take their children out of school to go to

:52:00.:52:03.

Florida, it sends a message to everyone that school attendance is

:52:04.:52:06.

not important. There is no circumstance in which a trip to

:52:07.:52:10.

Disney World can be regarded as educational. Can I asked the

:52:11.:52:16.

minister, I'm very fond of him and I thought he had a bit of a touch of

:52:17.:52:20.

the dickens about him, but isn't the fact that this is a serious

:52:21.:52:25.

fundamental problem that we still squeeze the summer holidays into

:52:26.:52:29.

about a six-week period that British Airways charge the earth to going

:52:30.:52:32.

round Center Parcs treble their rates. It is a serious problem that

:52:33.:52:38.

we should tackle for everyone possible benefit. I am on the side

:52:39.:52:42.

of being tough. I have constituents with great pressure from the Muslim

:52:43.:52:48.

community, especially Pakistan, to take their children out and they are

:52:49.:52:51.

the children that have been suffering. I am on the side of being

:52:52.:52:56.

tough, but let's look at this in a more fundamental way, please. The

:52:57.:53:00.

honourable gentleman who I have a huge admiration for the former chair

:53:01.:53:03.

of the educational select committee, is right. We need to look at this

:53:04.:53:08.

issue are more fundamental win that's we've given schools the

:53:09.:53:14.

freedom to set their term dates. They should be helping to coordinate

:53:15.:53:23.

schools so that they set different candidates that help their own

:53:24.:53:30.

tourist industries. Is the Minister agreeing with me that educational

:53:31.:53:34.

attainment is directly correlated to attendance and that narrowing the

:53:35.:53:38.

attainment gap and raising standards must be a priority for any

:53:39.:53:41.

Government that cares about the future of our children? Honourable

:53:42.:53:47.

friend is right. There is ample evidence that even taking a few days

:53:48.:53:53.

off school can have a serious effect on child's education. Particularly

:53:54.:53:58.

those secondary school years leading up to GCSE but also in primary

:53:59.:54:03.

education. Where the pattern of attendance is set. Charlie Taylor,

:54:04.:54:07.

our behaviour expert in the last Parliament, took a view that it's

:54:08.:54:10.

more important to set the precedent in Primary School so that children

:54:11.:54:14.

can enter secondary school are already in the habit of attending

:54:15.:54:24.

school every day. The Government is underlying the importance of giving

:54:25.:54:27.

head, and I support that in almost all cases with the exception of the

:54:28.:54:30.

opt out in religion to sex education, which I think are

:54:31.:54:34.

unacceptable. English and to turn time absences does the Minister

:54:35.:54:40.

agree that some holidays or the attendance of family funerals are

:54:41.:54:44.

both can be informative, educational or research at the autonomy and the

:54:45.:54:47.

discretion to decide whether in those exceptional circumstances

:54:48.:54:52.

should children be allowed to random absences and shouldn't the law

:54:53.:54:57.

reflect that? The honourable gentleman accurately reflects the

:54:58.:55:00.

law as it stands, that editors do have the discretion to grant term

:55:01.:55:04.

time absence in exceptional circumstances and the examples he

:55:05.:55:09.

cited court for example, funerals, is an example of the exceptional

:55:10.:55:13.

circumstance. Term term holiday to take advantage of lower prices would

:55:14.:55:22.

not be regarded as exceptional. Following on the same theme, the

:55:23.:55:26.

Government has been very consistent in saying it believes that a school

:55:27.:55:31.

should have more freedom from the state in making decisions. Does the

:55:32.:55:36.

Minister believe that this particular case you doesn't believe

:55:37.:55:38.

that schools should have those freedoms ordered two or is it that

:55:39.:55:43.

the schools have asked him to relieve them of the particular

:55:44.:55:47.

freedoms in these case? Whatever the rights and wrongs of the particular

:55:48.:55:51.

issue, it is clearly inconsistent with the Government's believe in

:55:52.:55:56.

giving schools greater freedoms? The schools themselves have increased

:55:57.:56:02.

freedoms if they adopt those academy status. They have freedom of the

:56:03.:56:05.

curriculum and turned it that these rules apply to individuals, there is

:56:06.:56:09.

no freedom for an individual not to educate their children. Have to

:56:10.:56:13.

attend school or attain education otherwise, which is I think the law.

:56:14.:56:18.

This is about the law applying to parents. We want a society where

:56:19.:56:22.

education is compulsory for all Tiltman in our country. -- for all

:56:23.:56:28.

children. The Minister must acknowledge the limbo that schools

:56:29.:56:32.

now find themselves in, the head teachers know precisely what the

:56:33.:56:37.

regulations say, but they also know what the High Court ruling is. Can

:56:38.:56:41.

the Minister clarify for the benefit of the headteachers who might be

:56:42.:56:47.

listening in on this statement what he thinks it should take precedent,

:56:48.:56:51.

the High Court judgment or the rulings as they stand? And if it is

:56:52.:56:54.

the High Court judgment on how quickly is the Government come to

:56:55.:56:59.

this house to reassert what it wants in terms of the judgment? We are

:57:00.:57:07.

still waiting to receive the written judgment of the local and as soon as

:57:08.:57:13.

we receive that we will refer that the honourable gentleman

:57:14.:57:14.

. Honourable gentleman and the house.

:57:15.:57:25.

The High Court judgment used in 90% threshold, where Ofsted will

:57:26.:57:34.

criticise those with an attendance below 95%? A 10% absence rate

:57:35.:57:40.

equates to one day off a fortnight. I don't think we should be

:57:41.:57:45.

encouraging that sort of attendance records in our schools. Thank you,

:57:46.:57:50.

Mr Speaker. We have heard a lot of talk from the minister about

:57:51.:57:54.

tackling the symptoms, I don't believe enough has been done to

:57:55.:57:58.

tackle the cause, which are these companies which can get away with

:57:59.:58:05.

charging astronomical prices during holiday time. When will the

:58:06.:58:10.

Government do something to tackle this rip-off culture in our society?

:58:11.:58:15.

This wassen issue can examined some -- which was examines some years

:58:16.:58:20.

ago. It is not an issue of the holiday companies ripping off

:58:21.:58:23.

consumers. It is the case that hotels around the world and in this

:58:24.:58:27.

country charge higher rates during the summer months and peek seasons

:58:28.:58:33.

than they do out of peek. Of peak. That is a question of market

:58:34.:58:38.

economics. Mr Platt is a resident of my island and it is the Isle of

:58:39.:58:44.

Wight council's decision to take him to court which has brought about

:58:45.:58:48.

this situation. It seems to me that the legislation is quite clear, it

:58:49.:58:54.

is for the head teacher to decide what constitutes exceptional

:58:55.:58:57.

circumstances. The head is undoubtedly to the best position to

:58:58.:59:01.

take account of the full picture in any request for absence. It is hard

:59:02.:59:07.

to envisage legislation, or even guidance, devised here or in

:59:08.:59:12.

Whitehall, that could probably take account of all possible exceptional

:59:13.:59:16.

circumstances. Does the Government intend to take away these decisions

:59:17.:59:23.

from the person who is ultimately responsible for the performance of

:59:24.:59:29.

their school? No, my honourable friend explains the situation

:59:30.:59:32.

accurately. It is a question for the head teacher to determine. And they

:59:33.:59:37.

should determine whether there are exceptional circumstances to grant

:59:38.:59:40.

authorised absences. It does rest with the head teacher. The current

:59:41.:59:47.

situation is obviously lacking in clarity after this judgment. My

:59:48.:59:52.

concern was there was a lack of clarity beforehand, that perhaps the

:59:53.:59:55.

minister might turn his attention to. I had a case where a family

:59:56.:00:00.

whose grandmother was Spanish were denied the opportunity to go to her

:00:01.:00:07.

funeral in Spain. I wonder if the minister would consider providing

:00:08.:00:12.

greater clarity to head teachers to ensure that kind of travel is

:00:13.:00:15.

considered exceptional circumstances? Well, I think the

:00:16.:00:20.

situation was before the High Court judgment was very clear that the

:00:21.:00:24.

head teacher has discretion whether or not to grant authorised absence

:00:25.:00:28.

and can do so only in exceptional circumstances. The NAHT have

:00:29.:00:34.

produced a two-page guidance which sets out what they believe their

:00:35.:00:38.

members should decide when determining whether an about sense

:00:39.:00:42.

should be authorised. The issue of funerals, it makes it clear in this

:00:43.:00:47.

guidance that fun would be regarded -- that funerals would be regarded

:00:48.:00:53.

as an exceptional circumstance. People now feel frustrated by term

:00:54.:00:58.

times and holidays based in an agrar Ryan past. Would my honourable

:00:59.:01:04.

friend agree that communities based in rural locations often have small

:01:05.:01:11.

village schools which stand to suffer disproportionately when there

:01:12.:01:14.

are absences from the sort that he has described? Yes, my honourable

:01:15.:01:18.

friend makes a very valid point. This is not just about pupil's

:01:19.:01:24.

education, which it is. It is also about the challenge it presents to

:01:25.:01:29.

teachers as they seek to deliver catch-up lessons to the pupils who

:01:30.:01:34.

were absent. In a small school with small class sizes it is doubly

:01:35.:01:36.

difficult for the teacher. THE SPEAKER: Mark Spencer. What

:01:37.:01:45.

assistance can the minister give to parents, to give them the education

:01:46.:01:48.

they might require when making decisions whether to take their

:01:49.:01:52.

children out of school or not? It seems that a minority of parents are

:01:53.:01:55.

making the wrong decision. Can he supply any more information on the

:01:56.:01:58.

impact of removing those children from school at the time they choose

:01:59.:02:04.

to do that? My honourable friend makes a good point. We need to

:02:05.:02:09.

emphasise the evidence that even small absences from school will have

:02:10.:02:13.

a long-term impact on a child's education, as I set out in my

:02:14.:02:19.

opening comments. A lot of education is that you need to learn one thing

:02:20.:02:22.

before another. If a teacher is not able to provide a catch-up lesson

:02:23.:02:28.

for that child they will permanently miss out on a crucial part of

:02:29.:02:32.

education. Does my honourable friend agree that this Government has taken

:02:33.:02:37.

positive steps to reduce the cost of family holidays and therefore reduce

:02:38.:02:44.

the financial incentive to reduce term time absence. Last year

:02:45.:02:52.

four-and-a-half million under 12 flews tax free.

:02:53.:02:58.

My honourable friend make the point better than I could have done. Thank

:02:59.:03:06.

you, Mr Speaker. Whilst I agree with the Government's response and their

:03:07.:03:10.

determination to raise standards, I do have some sympathy with my

:03:11.:03:13.

honourable friend, and the situation where we have a number of schools

:03:14.:03:17.

with a high concentration of people in the tourist industry, where they

:03:18.:03:21.

are relatively low pay, where there has not been a significant enough

:03:22.:03:25.

change in the cost of holidays and when there is not momentum around

:03:26.:03:30.

changes in Terims, there are a number of -- of term time and there

:03:31.:03:40.

is a number of to get into regional dialogue for economies where there

:03:41.:03:44.

could be a significant effect. I am happy to have a dialogue with my

:03:45.:03:49.

honourable friend. We have given discretion to academies to set their

:03:50.:03:55.

own term dates. I would urge all honourable friends representing

:03:56.:03:59.

areas with high levels of tourism to work with their schools, with their

:04:00.:04:02.

local authority, with other local authorities, to find a way in which

:04:03.:04:07.

they can set term dates which do reflect the needs of their local

:04:08.:04:10.

communities. Thank you, Mr Speaker. My honourable friend will know that

:04:11.:04:14.

actually in terms of children being absent from school it is disruptive

:04:15.:04:19.

to the child who is missing school but also to the class when they try

:04:20.:04:23.

to catch up. One of the experiments tried at the moment is to extend the

:04:24.:04:29.

school day by 30 minutes and extending the half term from one

:04:30.:04:33.

week to two weeks in certain areas now to aa position where parents can

:04:34.:04:40.

take their children on holiday for a two-week period. What does my

:04:41.:04:44.

honourable friend think of that idea? It is precisely the kind of

:04:45.:04:49.

idea we hope and expect will come out of the discretion that we have

:04:50.:04:54.

granted to academies in this country. There are many schools that

:04:55.:04:59.

are taking advantage of that particular freedom. Statement, the

:05:00.:05:08.

Secretary of State for Health. Secretary Jeremy Hunt.

:05:09.:05:10.

Thank you. For the last three years there have been repeated attempts to

:05:11.:05:18.

reform the junior doctor's contract to support better patient care seven

:05:19.:05:24.

days a week, culminating in a dispute which has lasted over 10

:05:25.:05:29.

months after ten days of discussion under the au pishs of ACAS, the

:05:30.:05:34.

dispute was resolved yesterday with an historic agreement between the

:05:35.:05:39.

Government, NHS employers, acting on behalf of the employers of doctors

:05:40.:05:44.

and the BMA which will modernise the contract making it better for

:05:45.:05:48.

doctors and patients. The new contract meets all the Government's

:05:49.:05:52.

red lines for delivering a seven-day NHS and remains within the existing

:05:53.:06:00.

pay envelope. We will publish an equallied analysis alongside a

:06:01.:06:03.

renewed contract. It will be put to a ballot of the BMA membership next

:06:04.:06:07.

month with the support of the leader, the chair of the committee.

:06:08.:06:13.

Mr Speaker, I would first of all like to express my thanks to the BMA

:06:14.:06:19.

for the leadership they have shown in returning to talks, negotiating

:06:20.:06:22.

in good faith and making an agreement possible. I would like to

:06:23.:06:30.

put on record my thanks to Sir Barber for his excellent stewardship

:06:31.:06:38.

and to Sir Dalton for his wisdom and insight.

:06:39.:06:44.

The agreement will facilitate the biggest changes to the junior

:06:45.:06:49.

doctors' contract since 1999. It will allow the Government to delive

:06:50.:06:57.

a seven-day NHS, improve patient safety, support productivity

:06:58.:07:00.

improvements and impoveing the morale of junior doctors with a

:07:01.:07:04.

modern contract fit for a modern health service. The contract,

:07:05.:07:08.

inherited by this Government, had a number of features badly in need of

:07:09.:07:13.

reform, including low levels of basic pay as a proportion of total

:07:14.:07:19.

income, making doctors rely on unpredict Kabul supplements to boost

:07:20.:07:25.

their income, automatic annual pay rises even when people take

:07:26.:07:29.

prolonged periods of leave from the NHS. An unfair banded system which

:07:30.:07:35.

triggers premium rates to every team member, even if only one person has

:07:36.:07:40.

worked the extra hours. High premium rates for weekend work which make it

:07:41.:07:45.

difficult tos are ter staff in line with patient need and risks to

:07:46.:07:48.

patient safety with doctors sometimes required to work seven

:07:49.:07:53.

full days or seven full nights in a row, without proper rest periods.

:07:54.:07:56.

This Government has always been determined that our NHS should offer

:07:57.:08:01.

the safest, highest quality of care possible, which means a consistent

:08:02.:08:05.

standard of care for patients admitted across all seven days of

:08:06.:08:09.

the week. So, the new contract agreed yesterday makes the biggest

:08:10.:08:13.

set of changes to the junior doctor's contract forren 17 years,

:08:14.:08:18.

including establishing the principal that any doctor who works less than

:08:19.:08:23.

an average of one weekend day per month, Saturday or Sunday, should

:08:24.:08:29.

receive no additional premium pay, compensated by an increase of basic

:08:30.:08:35.

pay between 10-11%. Reducing the marginal cost of employing

:08:36.:08:38.

additional doctors at the weekend by a third. Supporting all hospitals to

:08:39.:08:45.

meet the clinical standard, by establishing a new role for

:08:46.:08:51.

experienced junior doctors, a senior clinical decision makers, able to

:08:52.:08:55.

make expert assessments of vulnerable patients who may be

:08:56.:08:59.

admitted or staying in hospitals over weekends and removing t

:09:00.:09:03.

disincentive tos are ter sufficient number of doctors at the weekend by

:09:04.:09:08.

replacing a banding system with a fairer system which values week

:09:09.:09:14.

yeend work by paying social hours -- unsocial hours worked with more pay

:09:15.:09:19.

to those who worked the most. The Government recognises that safer

:09:20.:09:22.

care for patients is more likely to be provided by well-motivated

:09:23.:09:25.

doctors who have sufficient rest between shifts and work in a

:09:26.:09:30.

family-friendly system. So, the new contract and ACAS agreement will

:09:31.:09:34.

improve the well being of our critical junior doctor workforce by

:09:35.:09:38.

reducing the maximum number of hours a doctor can be asked to work in a

:09:39.:09:43.

week from 91-72. Reducing the number of nights a doctor can be asked to

:09:44.:09:49.

work in a row to four. And reducing the number of long days a doctor can

:09:50.:09:53.

be asked to work to five. Introducing a new post, guardian of

:09:54.:09:57.

safe working in every trust to guard against doctors being asked to work

:09:58.:10:04.

excessive hours. Introducing a new catch-up programme for doctors who

:10:05.:10:08.

take community leave or other time off for caring responsibilities.

:10:09.:10:13.

Establishing a review to see how best to allow couples to train in

:10:14.:10:18.

the same areand a offer training placements for those with caring

:10:19.:10:21.

responsibilities close to their home. Giving pay protection to

:10:22.:10:27.

doctors who switch specialities and establishing a review to inform a

:10:28.:10:30.

new requirement on trusts to consider caring and other family

:10:31.:10:34.

responsibilities when designing rotas. Taken together, these changes

:10:35.:10:40.

show the Government's commitment to safe care for patients and the value

:10:41.:10:45.

we attach to the role of junior doctors. Whilst they do not remove

:10:46.:10:51.

every bug bear or frustration, they will significantly improve

:10:52.:10:54.

flexibility and work life balance for doctor, leading, we hope, to

:10:55.:10:58.

improved retention rates, higher morale and better care for patients.

:10:59.:11:04.

But whatever the progress made with today's landmark changes it will

:11:05.:11:08.

always be a matter of great regret it was necessary to go through such

:11:09.:11:12.

disruptive industrial action to get there.

:11:13.:11:17.

We may welcome the destination, but no-one could have wanted the

:11:18.:11:21.

journey. Today, I say to all junior doctors, whatever our disagreements

:11:22.:11:24.

about the contract may have been, the Government has heard and

:11:25.:11:29.

understood the wider frustrations that you feel about the way you are

:11:30.:11:34.

valued and treated in the NHS. Our priority will always be the safety

:11:35.:11:40.

of patients, but we also recognise that to deliver high-quality care we

:11:41.:11:45.

need a well-motivated and happy junior doctor workforce, putting a

:11:46.:11:48.

new modern contract in place is not the end of the story. We will

:11:49.:11:52.

continue to engage constructively with you to try and resolve

:11:53.:11:59.

outstanding issues, as we proceed on our journey to tackle head on the

:12:00.:12:03.

journey the NHS faces and make it the highest quality health care

:12:04.:12:07.

system in where in the world. Today's agreement shows we can make

:12:08.:12:11.

common cause on that journey w a contract better for patients, for

:12:12.:12:17.

doctors and better for the NHS and I commend it to the House.

:12:18.:12:25.

I want to start by putting on record our thanks to Sir Brendan Barber and

:12:26.:12:33.

the cars for the role they've played in fighting agreements between the

:12:34.:12:38.

two sides in this dispute. -- finding agreement. I want a good

:12:39.:12:42.

pitch to the Academy of red medical Royal colleges who proposed these

:12:43.:12:46.

further talks and encourage the Government and the BMA to pause and

:12:47.:12:52.

think about patients. I have not been shy in telling the house

:12:53.:12:57.

secretary what I think about his handling of this dispute. That today

:12:58.:13:01.

is not the day to repeat those criticisms. I am pleased and

:13:02.:13:08.

relieved that an agreement has been reached, but I am sad that it took

:13:09.:13:13.

an all-out strike of junior doctors to get the Government back to the

:13:14.:13:20.

table. What is now clear, if it wasn't already, is that a negotiated

:13:21.:13:25.

agreement was possible all along. So I have to ask the house secretary:

:13:26.:13:31.

Why couldn't this deal had been struck in February? Why did he allow

:13:32.:13:38.

his pride back then to come before sensible compromise and constructive

:13:39.:13:44.

talks? When he stands up, he might try to blame the BMA for the

:13:45.:13:48.

negotiations breaking down, but he failed to say what options he was

:13:49.:13:55.

prepared to consider in order to ensure that the junior doctors who

:13:56.:14:01.

work the most unsociable hours are fairly awarded. It was a computer

:14:02.:14:09.

says no attitude and that is no way to run the NHS. Why did he ignore my

:14:10.:14:14.

letter to him on the 7th of February on which I asked him to make an

:14:15.:14:19.

explicit and public commitment to further concessions on the issue of

:14:20.:14:24.

unsociable hours. I was clear that if he had done that then I was

:14:25.:14:29.

having courage to BMA to return to talks. Why did he instead insist

:14:30.:14:38.

upon trying to bulldoze and impose the contract through when virtue

:14:39.:14:41.

everyone told him not to and the consequences of doing so were

:14:42.:14:46.

obvious fraud to see, protracted industrial action, destroyed morale

:14:47.:14:50.

and eight complete Britain in trust. -- for all to see. Can it house

:14:51.:14:57.

secretary say more about the changes agreed that can undo the

:14:58.:15:01.

discriminate effects on women of the last contract he published? Does he

:15:02.:15:07.

now accept the previous contract discriminated against women? Will he

:15:08.:15:14.

be clear for the record that he note two now understands that this was

:15:15.:15:18.

never just about pay, can he confirm the concessions have been made not

:15:19.:15:23.

only in respect of the mechanism for enforcing hours worked and breaks

:15:24.:15:28.

taken, but also in ensuring that those specialities with the biggest

:15:29.:15:32.

recruitment problems have decent incentives built into the contract.

:15:33.:15:38.

Moving on to what happens next, can he tell us what he will do if junior

:15:39.:15:45.

doctors vote against this offer? Will he still impose a contract? And

:15:46.:15:52.

which version of the contract will he impose? His preferred version or

:15:53.:15:59.

this compromise one? Can he say whether the possibility of losing a

:16:00.:16:05.

case in the High Court about his power to impose a contract had

:16:06.:16:10.

anything to do with his recently discovered eagerness to return to

:16:11.:16:17.

talks? We all know it High Court told him he had acted above the law

:16:18.:16:21.

when he tried to take the axe to my local hospital, so I can understand

:16:22.:16:26.

why he does not want that embarrassment again, and finally,

:16:27.:16:33.

can I caution him on his use of language both in this chamber and on

:16:34.:16:41.

the media. His loose words and implied criticism of junior doctors

:16:42.:16:46.

is partly the reason why this has ended up being such an almighty

:16:47.:16:53.

mess. Can I suggest a degree of humility on the part of the

:16:54.:16:56.

secretary of the state wouldn't go amiss. And can I encourage a period

:16:57.:17:03.

of radio silence from him to allow junior doctors to consider the new

:17:04.:17:09.

contract with a clear mind and without his spin echoing in their

:17:10.:17:17.

ears? Let me remind the house secretary that he still needs to get

:17:18.:17:21.

a majority of junior doctors to vote for this contract for this dispute

:17:22.:17:28.

to be finally over. Mr Speaker, I hope with all my heart that the

:17:29.:17:35.

agreement yesterday may offer a way forward. Junior doctors will want to

:17:36.:17:39.

consider it, trust needs to be repaired and that will take time. I

:17:40.:17:45.

hope for the sake of everyone patients and doctors that we might

:17:46.:17:51.

see an end to this very sorry episode in NHS history. Mr Speaker,

:17:52.:18:03.

she is wrong today as she has been wrong throughout this dispute. She

:18:04.:18:09.

spent a lot of time in the last ten months criticising the way the

:18:10.:18:13.

Government has sought to change this contract. What she did not dwell on

:18:14.:18:18.

was why it needed to be change in the first place, namely the four

:18:19.:18:22.

flawed contract put in place in 1999, we have major screamers with

:18:23.:18:28.

the BMA but once we agree on was Labour's contract was not fit for

:18:29.:18:33.

purpose. -- many disagreements. Could size and the contract right is

:18:34.:18:37.

like could sizing the mechanic making the car you just crashed and

:18:38.:18:44.

it's time she polished the contract changes -- acknowledged the contract

:18:45.:18:47.

changes have led to the number of the five day care problems were

:18:48.:18:50.

trying to sort out. She was also wrong to say that an all-out strike

:18:51.:18:56.

was necessary to resolve this dispute. The reason that the talks

:18:57.:19:01.

were not in the last ten days, the meaningful talks that we had, is

:19:02.:19:07.

because the BMA changed its position and agreed great goal sheet is

:19:08.:19:12.

wrecked to negotiate an weekend pay. She told the house four times before

:19:13.:19:17.

that change of heart that we should not impose a new contract. What

:19:18.:19:21.

would have happened if we have followed her advice? Quite simply

:19:22.:19:24.

today we would not have had the biggest single step towards a

:19:25.:19:30.

seven-day NHS for a generation. The biggest reforms Don social hours for

:19:31.:19:36.

17 years, with the extra cost of employing a doctor at the weekend is

:19:37.:19:39.

going down by one third. We would not have had the reductions in

:19:40.:19:44.

maximum working hours or many other changes that improve the safety for

:19:45.:19:48.

patients and quality of life for doctors. She was wrong to say that

:19:49.:19:54.

the previous contract was discriminatory against women, it

:19:55.:19:57.

removes discrimination, but does that mean there are a lot of things

:19:58.:20:04.

that we can do to support women who work as junior doctors? There are,

:20:05.:20:10.

and that is why the new Deal announced yesterday has an important

:20:11.:20:14.

and new character clause for women who take time off from maternity

:20:15.:20:17.

leave him they can get back to the position they would have been in if

:20:18.:20:20.

they had not had to take time off to have children. And she asked what

:20:21.:20:27.

happens if the ballot goes the wrong way. What she failed to do was to

:20:28.:20:32.

say whether she was encouraging junior doctors to vote for that

:20:33.:20:38.

ballot, and I say to her that on the 28th of October she has told this

:20:39.:20:44.

house that she supported the principle of seven-day services, but

:20:45.:20:48.

as Tony Blair once said, you cannot will the end without willing the

:20:49.:20:52.

means, and in this dispute shows refused to say that she was spot --

:20:53.:20:57.

supports the withdrawal of emergency care if you report -- supports

:20:58.:21:01.

contentious changes to reform we can premium pay and now she won't even

:21:02.:21:05.

say doctors should vote for the new agreement. Leadership is facing up

:21:06.:21:10.

to difficult decisions, not ducking them. I say to her this Government

:21:11.:21:14.

is prepared to take difficult decisions and fight battles that

:21:15.:21:18.

improve quality and safety of care in the NHS. She's not willing to

:21:19.:21:23.

fight them that is fine, but she shouldn't stand dispatch box and

:21:24.:21:26.

claim Labour stands up for NHS patients. If she doesn't want to

:21:27.:21:30.

listen to me perhaps she should listen to former Labour Minister Tom

:21:31.:21:34.

Harris, who said strategically Labour should be on the side of the

:21:35.:21:39.

patients and we aren't. If Labour isn't, the Conservatives are! Mr

:21:40.:21:49.

Speaker, could I add my congratulations on both sides for

:21:50.:21:53.

turning to constructive negotiations and far reaching an agreement and I

:21:54.:21:57.

would like to pay particular tribute to Professor Sue Bailey in the

:21:58.:22:00.

Academy of Medical Royal Colleges for their role in bringing both

:22:01.:22:04.

sides together. I welcome the particular focus on all the other

:22:05.:22:10.

aspects that are blighting the lives of junior doctors alongside

:22:11.:22:13.

negotiations around weekend pay and recognising we need to focus on

:22:14.:22:17.

those specialties which is hard to recruit two and those of junior

:22:18.:22:21.

doctors who are working the longest hours of folks of patient safety.

:22:22.:22:26.

We're not out of the woods yet, we need junior doctors to vote for this

:22:27.:22:32.

in a referendum. And could I add my voice to the voices of the Leader of

:22:33.:22:38.

the Opposition spokesman of health to say that I think what is needed

:22:39.:22:43.

now is a period of calm reflection and to build relationships with

:22:44.:22:46.

junior doctors going into the future. I wonder if this act of

:22:47.:22:50.

state could comment on his plans for building a relationship with our

:22:51.:22:56.

core workforce? Firstly I would like to very much agree with the

:22:57.:23:01.

honourable lady in her thanks to Professor Dame Sue Bailey and the

:23:02.:23:04.

leadership the Academy of Medical Royal Colleges has shown in making

:23:05.:23:10.

the initiative that in the end made this detox possible and the

:23:11.:23:12.

agreement is possible and I know it's been a difficult and

:23:13.:23:15.

challenging time for the Royal colleges but I think Professor

:23:16.:23:17.

Bailey showed real leadership in turn should have and I also very

:23:18.:23:23.

much agree with her about the need to sort out some of the issues that

:23:24.:23:27.

have been frustrations for junior doctors, not just in the last few

:23:28.:23:31.

years, but going back decades in terms of the way their training work

:23:32.:23:36.

and in terms of the flexibility of the system of six-month rotations

:23:37.:23:40.

that they work in actually operates and this is an opportunity to look

:23:41.:23:44.

at those wider issues, think we have started looking at some of them

:23:45.:23:47.

yesterday and think there is more we can do and I think it is very

:23:48.:23:52.

important that this is seen not as one side winning and the other side

:23:53.:23:57.

losing, but as a win-win. But the last ten days it showed is that if

:23:58.:24:03.

you sit around the table you commit real progress in a better deal for

:24:04.:24:07.

patients and doctors and that is the spirit we want to go forward. I

:24:08.:24:19.

absolutely welcome this agreement and I pay tribute to the Royal

:24:20.:24:24.

Academy of Royal colleges for bringing this about. I do wish there

:24:25.:24:29.

had been some response to the latter that we sent before the all out

:24:30.:24:34.

strike. Simic letter. That was the attempt we were trying to make to

:24:35.:24:39.

create a space that both sites could step into Britain that we got to it

:24:40.:24:43.

now. I welcome the recognition the quality issues to us and many junior

:24:44.:24:48.

doctors appear to be dismissed in the impact assessment, the idea of

:24:49.:24:54.

flexible training champions in each trust, I myself was a flexible

:24:55.:24:58.

training senior surgeon, the first one in Scotland at the time, and I

:24:59.:25:02.

think that is really important. The idea was celebrated -- of

:25:03.:25:07.

accelerated training that one concern I have is the issue of

:25:08.:25:13.

childcare, if women, junior doctors, will be working longer shifts and

:25:14.:25:17.

more anti-social shifts, I remember myself when I had to fork out for

:25:18.:25:21.

childcare, I would like to know, will the NHS respond to that? Is

:25:22.:25:27.

that in question are as -- crash hours or support? I welcome the

:25:28.:25:32.

hours Guardian will also be linked to the Director of medical education

:25:33.:25:37.

and they will be an elected junior doctors for. That was one of their

:25:38.:25:40.

concerns that they would have no voice in relation to the Guardian. I

:25:41.:25:44.

also welcome the idea of using modern technology in rota creation.

:25:45.:25:51.

At the moment rodders are sheets of paper and often no one looks at the

:25:52.:25:55.

shoulder of one closer to the next and people can end up with very long

:25:56.:26:01.

periods on call. I do welcome that but one concern that remains is the

:26:02.:26:06.

issue of rota gaps, we actually don't have enough junior doctors and

:26:07.:26:10.

we don't have enough junior doctors in the most acute specialties. I

:26:11.:26:15.

would ask, how is the Secretary of State planning to re-establish a

:26:16.:26:20.

relationship? How will he recruit people to fill that gap? Because

:26:21.:26:25.

that was actually the coffee of junior doctors, lack of doctors

:26:26.:26:29.

simply being spread further. How will we recruit and retain after all

:26:30.:26:34.

of the painful clash that has been going on for the last year? I

:26:35.:26:40.

welcome the tone of her comments, which I might say could have been

:26:41.:26:45.

the tone we might have wanted from the Shadow Health Secretary. Let me

:26:46.:26:51.

address constructively her comments as she made them constructively to

:26:52.:26:54.

me that she is right about flexible training, we have to recognise that

:26:55.:26:59.

we have a junior doctor workforce that is now majority female, that

:27:00.:27:05.

has a number of family and caring pressures that need to be taken

:27:06.:27:10.

account of and we need to do this for the NHS as well as because it is

:27:11.:27:11.

the right thing to do. I think we have to look at

:27:12.:27:23.

particularly the east Responsibilities of doctors with

:27:24.:27:27.

young children and one of the things we anoinsed yesterday was an

:27:28.:27:34.

obligation on trusts to take account of caring responsibilities. If you

:27:35.:27:39.

have a doctor who wants to work less time during school holiday ands more

:27:40.:27:44.

and during term time. The needs of patients have to come first. It

:27:45.:27:48.

could be something which could be taken account of, in the way that

:27:49.:27:52.

many other industries which operate 24/7 do. She's right to say that

:27:53.:27:56.

modern technology is key for this. If you are an air steward working

:27:57.:28:05.

for basmt, you can go on to an electronic system yourself and

:28:06.:28:08.

choose the hours you wish to work. We have seen a lot of low come work

:28:09.:28:17.

which is partly driven because they offer the flexibilities that people

:28:18.:28:19.

need. These are important changes and we intend to take them forward.

:28:20.:28:25.

May I tell my Right Honourable friend that the actions of him and

:28:26.:28:30.

his department and the BMA in reaching an agreement will be warmly

:28:31.:28:35.

welcomed, but will be met with a sigh of relief. Will he accept that

:28:36.:28:41.

the fact that the BMA were prepared to think again on crucial issues

:28:42.:28:45.

like overtime at weekends, should not be seen as a sign of weakness,

:28:46.:28:51.

but of maturity in working the Government to ensure a seven-day NHS

:28:52.:28:58.

that is for the benefit of patients and patient safety? I agree with

:28:59.:29:06.

that wise comment, as befits someone who is in fact experienced and

:29:07.:29:09.

working in the Department of Health. You always get further if you sit

:29:10.:29:13.

around the table and talk about these issues and it is much better

:29:14.:29:19.

when you have a Government that is determined to improve the quality

:29:20.:29:23.

and safety of care for patients, it is also better to recognise that if

:29:24.:29:28.

the Government is successful that will also be better for the morale

:29:29.:29:32.

of doctors because the happiest, most motivated doctors are working

:29:33.:29:36.

in the hospitals which are giving the best care for patients. That is

:29:37.:29:44.

why it is a win win. It was the refusal for many wreers of the BMA

:29:45.:29:49.

to discuss the issue that my Right Honourable friend referred to meant

:29:50.:29:53.

we did reach a deadlock. It was the fact this Government was willing to

:29:54.:29:57.

proceed with important reforms on our own f we had to, which meant in

:29:58.:30:02.

the end everyone came together and got a sensible negotiation. Everyone

:30:03.:30:06.

would have wished we did haven't to go on the journey we did to get

:30:07.:30:09.

there. Now we have got there it is the time for being constructive on

:30:10.:30:14.

all sides. Can I thank the minister and the BMA for coming to an

:30:15.:30:19.

agreement. It is a win win for everyone. Talk dialogue does bring

:30:20.:30:23.

results. It happened in Northern Ireland and in the conclusion of

:30:24.:30:28.

this process as well. 45,000 junior doctor BMA members will now be asked

:30:29.:30:33.

to vote in this and a date has been reached. We've had eight days of

:30:34.:30:39.

strikes since January. A cancellation of who,000 planned

:30:40.:30:44.

operations -- 40,000 planned operations what will be done to

:30:45.:30:51.

catch up with those cancelrationlations? We are in

:30:52.:31:01.

constant touch with the devolved regions to make sure they know of

:31:02.:31:06.

the changes we are making and to share any learn from the pro-ess

:31:07.:31:09.

ises we have been through. We -- processes we have been through. We

:31:10.:31:13.

are across the country now doing everything we can to catch one the

:31:14.:31:19.

back log of all the things which have been affected by the industrial

:31:20.:31:25.

relations dispute. Trust will always priority the areas where clinical

:31:26.:31:28.

need is the greatest. I know that work is on going across the country.

:31:29.:31:34.

Thank you, Mr Speaker. I very much welcome the agreement that has been

:31:35.:31:41.

reached. We know that the Secretary of State recognises the important of

:31:42.:31:46.

having a happy and well-motivated workforce and this contract

:31:47.:31:50.

addresses many of the causes of unhappiness for junior doctors. It

:31:51.:31:55.

is particularly good to see addressing the problems of couples

:31:56.:31:58.

who are both junior doctors. There is more to do, has been

:31:59.:32:02.

acknowledged, especially on the reasons why junior doctors feel

:32:03.:32:08.

unsupported and not valued by their employers. My honourable friend

:32:09.:32:14.

commissioned a report and a review from Sue Bailey, underlining the

:32:15.:32:17.

problems of junior doctors in training. Can he advise us whether

:32:18.:32:25.

this review will proceed? The request from the BMA was to find a

:32:26.:32:29.

way of proceeding with that very important work and we will do it

:32:30.:32:33.

with the input of Professor Bailey because she has an important

:32:34.:32:37.

contribution to make. She is right to say that as well as the issue of

:32:38.:32:42.

more flexible working for people with family commitments, the big

:32:43.:32:45.

issue for many junior doctors is the way the training process happens. In

:32:46.:32:49.

particular the way that continuity of training has been undermined by

:32:50.:32:54.

the new shift system, which we need for reasons of patient safety. That

:32:55.:33:00.

often means that you can have a different consultant giving advice

:33:01.:33:03.

on different aspects of care from day-to-day. That is frustrating. We

:33:04.:33:08.

will look at all those issues with Professor Bailey, with health

:33:09.:33:11.

education England and with the BMA to see if we can find a better way

:33:12.:33:16.

forward. Will the Secretary of State be aware

:33:17.:33:23.

that even my constituents struggling the possible closure of the A in

:33:24.:33:30.

Huddersfield will otherwise welcome and say thank you to everyone who

:33:31.:33:34.

has brought this about. Including, I have to say, the leaders of the

:33:35.:33:38.

opposition parties, our spokeses people who have done so much to help

:33:39.:33:45.

a positive spirit? Will he just not glout about that or keep that period

:33:46.:33:49.

of silence because out there, this is part of the phenomenon of the

:33:50.:33:55.

deep unhappiness about the NHS and problems will arise again because so

:33:56.:34:02.

many people work in the NHS service, know it has been privatised by the

:34:03.:34:06.

back door, know that the clinical commissioning system is not working

:34:07.:34:10.

and that problems will come back again and again unless he confronts

:34:11.:34:15.

that. Weshlings it would have been a

:34:16.:34:20.

constructive contribution to this morning's debate if he had not

:34:21.:34:24.

started to descend into totally false slurs about this Government's

:34:25.:34:29.

commitment to our NHS. I say to him, if you support the NHS, if you are

:34:30.:34:32.

passionate about it as this Government is, you put the money in

:34:33.:34:37.

- ?5.5 billion more than his party was promising at the last election

:34:38.:34:41.

and you make the difficult reforms necessary to make sure that NHS care

:34:42.:34:46.

is as good or better than anything which can be provided in the private

:34:47.:34:49.

sector. That is what this Government is doing. We believe in our NHS and

:34:50.:34:54.

we are backing it to give it the best care anywhere in the world. I

:34:55.:34:58.

strongly welcome this important statement and the leadership from

:34:59.:35:02.

the Secretary of State and congratulate all those involved in

:35:03.:35:06.

the discussions. On Tuesday, in Eastly, I spoke with a constituent,

:35:07.:35:12.

a junior doctor and new mum married to a senior nurse at my advice

:35:13.:35:18.

surgery. She's unable to fast track into GP working and future care

:35:19.:35:23.

around her four-month-old baby is part of the concerns she has, and

:35:24.:35:28.

around these negotiations and it weighs heavily on this family,

:35:29.:35:32.

particularly around on-call working. Can I ask that agile working and

:35:33.:35:36.

those family first issues are truly taken into account where there are

:35:37.:35:40.

nurses and doctors trying to bring up families together?

:35:41.:35:44.

My honourable friend gives one example. I think there are thousands

:35:45.:35:49.

of examples of people like that who are totally committed to the NHS,

:35:50.:35:55.

have a bright future and can make a huge contribution to the success of

:35:56.:36:00.

the NHS in doing a good job looking after patients, but also have home

:36:01.:36:03.

responsibilities, which are difficult to fulfil when you have

:36:04.:36:08.

very inflexible Ross tering systems. This is one of -- rostering systems.

:36:09.:36:17.

We will look at how it brings in that flexibility. If we don't do

:36:18.:36:22.

that we will see more and more doctors saying they will work to

:36:23.:36:27.

work as locums or want to work for an agency. That is why we have an

:36:28.:36:33.

urgent need from the perspective of patients and doctors to address that

:36:34.:36:36.

issue. I am interested in the Secretary of

:36:37.:36:40.

State's thoughts about the serious impact on morale that this dispute

:36:41.:36:45.

has had. I was talking to a junior doctor in Sheffield this-the-other

:36:46.:36:49.

day who said priority to -- prior to the dispute he did not look at his

:36:50.:36:54.

contract, he simply got on and did whatever was needed. Does the

:36:55.:36:59.

Secretary of State realise even if this is settled there's been a

:37:00.:37:04.

serious impact on goodwill in the health service which could affect

:37:05.:37:08.

service delivery going forward? I would say to him that if he looks at

:37:09.:37:15.

the latest NHS staff survey we actually see higher staff

:37:16.:37:18.

motivation, better communication and more staff recommending their

:37:19.:37:21.

organisation as a place to work or be treated. I also do accept that

:37:22.:37:29.

when you make big changes to a contract like the junior doctor's

:37:30.:37:35.

contract they can be contentious and have an impact on morale. Morale

:37:36.:37:39.

goes up when doctors are able to give better care for patients and

:37:40.:37:45.

this is what this will require. The Secretary of State I think has done

:37:46.:37:50.

a very good job in explaining today. Look, let's look at this, the BMA

:37:51.:37:54.

caused a problem which should have been resolved a long time ago thasmt

:37:55.:37:58.

decided they would make a political point. That is fair enough.

:37:59.:38:03.

Conversely the opposition should have actually been big enough to

:38:04.:38:06.

say, look, we want to cause political trouble on this. A lot of

:38:07.:38:12.

this has been caused by political shenanigans. The failure of this is

:38:13.:38:17.

the junior doctors themselves have lost prestige throughout the UK

:38:18.:38:22.

because they were used by political pawns as two organisations. Well, I

:38:23.:38:29.

think it is a great tragedy that the dispute unfolded in the way it did.

:38:30.:38:33.

I am sure there are people with different agendas who have not

:38:34.:38:38.

played constructive roles at various points. Given we now have an

:38:39.:38:44.

agreement I want to look forward and say the lesson of the last ten days

:38:45.:38:48.

is when you sit down and negotiate about all the outstanding issues

:38:49.:38:53.

with a Government that is trying to make care better and safer for

:38:54.:38:56.

patients then you get a result which is good for everyone.

:38:57.:39:00.

It is not the time to be claiming victory. This negotiated agreement

:39:01.:39:05.

now has to be put to the members of the British Medical Association.

:39:06.:39:09.

Will the Secretary of State acknowledge that his own refusal to

:39:10.:39:18.

negotiate easts a sister baiteded this crisis? Will he heed my

:39:19.:39:22.

honourable friend, the Shadow Secretary's call for a period of

:39:23.:39:26.

silence in order to avoid antagonising the junior doctors

:39:27.:39:31.

still further? Let 's be absolutely clear there was never a refusal to

:39:32.:39:36.

negotiate on the Government's side. You know, we have now, I think,

:39:37.:39:41.

developed a lot of trust between the Government and the BMA leadership.

:39:42.:39:46.

Until that point, they balloted for industrial action without even

:39:47.:39:48.

sitting down and talking to the Government and they refused to

:39:49.:39:52.

discuss the issue of weekend pay premium, which is the crucial change

:39:53.:39:57.

we needed for a seven-day NHS. It is when they changed their position on

:39:58.:40:00.

those areas that we were able to have constructive talks and that is

:40:01.:40:05.

why they deserve great credit for coming to the table and negotiating

:40:06.:40:09.

on things they did not want to previously.

:40:10.:40:15.

I would like to say thank you to the Secretary of State for bringing hard

:40:16.:40:18.

to bring about this resolution and always putting users of the NHS at

:40:19.:40:23.

the heart of everything he does. Will he join me in urging junior

:40:24.:40:30.

doctors to consider it with an open mind and strip out some of the

:40:31.:40:33.

politics we have heard. And let's consider what is best for patients,

:40:34.:40:38.

for the NHS and then what is best for the junior doctors? She speaks

:40:39.:40:43.

very wisely. All I would say is that I understand in a very contentious

:40:44.:40:49.

industrial relations dispute that junior doctors will not necessarily

:40:50.:40:52.

look to me for advice as to which way they should vote, but it wasn't

:40:53.:40:57.

just me doing this agreement, it was a negotiated agreement and the

:40:58.:41:00.

leader of the junior doctors committee said it is a good

:41:01.:41:04.

agreement, he will support people to support it and he thinks it is a

:41:05.:41:09.

good way forward for doctors and patients T people closest to the

:41:10.:41:12.

detail, to the negotiations think it is the right step forward for junior

:41:13.:41:16.

doctors and that is something I want to take account of. Thank you, Mr

:41:17.:41:24.

Speaker. I don't wish to invite the Secretary of State to provoke by

:41:25.:41:28.

presumption. If this changes the shape of services it will have

:41:29.:41:32.

implications for other health professions. Is he prepared to have

:41:33.:41:37.

further conversation that needs to be had there and with counterparts

:41:38.:41:42.

across these nationals to professional education and training?

:41:43.:41:48.

We are of course willing to have those discussions with colleagues in

:41:49.:41:53.

other parts of the UK. But he is right that to have a seven-day

:41:54.:41:59.

service doesn't just involve junior doctors, it involves widespread

:42:00.:42:03.

changes across the service. I would say for nurses, health care

:42:04.:42:07.

assistants, porters, cleaners, others who work in hospitals, they

:42:08.:42:13.

already operate on 24/7 shifts. So the changes necessary to contracts

:42:14.:42:16.

are much less profound than they are to some of the doctors' contracts,

:42:17.:42:21.

which is why it is important that we change not just the junior doctors'

:42:22.:42:26.

contract but the consultants' contracts and the fact we have an

:42:27.:42:30.

agreement bodies well for the consultants' contract, which is the

:42:31.:42:32.

next step. Can I congratulate my honourable

:42:33.:42:42.

friend and all honourable friend the member for switch for his hard work

:42:43.:42:49.

in dealing with the dispute with the BMA. Patients up and down the

:42:50.:42:54.

country, including mine, were somewhat concerned about the

:42:55.:42:57.

cancelled operations but I'm delighted that the deployment will

:42:58.:43:01.

try and make sure this gets caught up with. -- department. One of the

:43:02.:43:07.

things come out of it was that some senior consultants had to end up on

:43:08.:43:11.

the front line for the first time in a long time and can I ask what can

:43:12.:43:15.

be done to make sure this happens on a regular basis so they are getting

:43:16.:43:18.

experience on the front line as well? Think I will dig myself into a

:43:19.:43:28.

deep old answer that directly. I would like to echo his thanks to my

:43:29.:43:36.

honourable friend the member for Ipswich, who has done an outstanding

:43:37.:43:42.

job at every stage throughout this very difficult period and I can

:43:43.:43:46.

certainly say we would not have had yesterday's agreement without his

:43:47.:43:49.

very strong help and support at every stage. I think it's true that

:43:50.:43:59.

there are A departments that have to plan for the withdrawal of

:44:00.:44:02.

emergency care and they found that having consultants more visible to

:44:03.:44:08.

patients had some positive impact and I know studies are going on to

:44:09.:44:11.

see what lessons can be learned going forward. I too welcome the

:44:12.:44:18.

opportunity for a negotiated settlement, but let us take a moment

:44:19.:44:24.

to reflect on one of the fundamental principles of the NHS about

:44:25.:44:29.

providing high quality patient care, and to that end, Woody section of

:44:30.:44:33.

state figures opportunity to offer our heartfelt and sincere apology

:44:34.:44:37.

for the significant and severe distress that has been caused to

:44:38.:44:41.

patients as a result of this prolonged dispute? With the gift

:44:42.:44:47.

greatest of respect it was not my decision to take industrial action,

:44:48.:44:53.

to ballot without him in being prepared to sit around the table and

:44:54.:44:57.

talk to the Government, and with respect to patient safety we seemed

:44:58.:45:01.

about improvements in beige and safety under this Government as we

:45:02.:45:05.

face up to the many problems in care that we inherited, not just miss

:45:06.:45:13.

staffs and many other places that option should welcome the changes

:45:14.:45:16.

we've made in one of those it have a seven-day NHS. Like many colleagues

:45:17.:45:24.

in the house, wrote visit to stick on numerous occasions over the last

:45:25.:45:29.

six months to express concerns of local junior doctors so,

:45:30.:45:31.

congratulate him on reaching this and I hope the new doctors in

:45:32.:45:35.

Wimbledon will wholeheartedly support this deal. Can I say we

:45:36.:45:38.

spoken about the Guardian and the ability of it and its role to

:45:39.:45:43.

safeguard and have safe working hours per patients and doctors. Can

:45:44.:45:48.

have more details about how that should work? I'm happy to do that

:45:49.:45:51.

and I thank him for his correspondence. The principle is

:45:52.:45:56.

that junior doctors want to know that there is someone independent

:45:57.:46:00.

that they can appeal to the think they are being asked to work hours

:46:01.:46:05.

that are unsafe the spin they cannot work -- after patients how they

:46:06.:46:08.

wanted because they're physically or mentally too exhausted. That is

:46:09.:46:13.

something we would all want to make possible but it means they need to

:46:14.:46:19.

have someone who is the -- is not their line manager, someone

:46:20.:46:22.

independent and separate. One of the areas we made the most progress in

:46:23.:46:27.

the last few months, even before the last ten days, is establishing how

:46:28.:46:32.

these guardians can work in a way that has the of the hospitals the

:46:33.:46:39.

doctors working there. The section of state is right when he says you

:46:40.:46:43.

always get further if you get around the table. I ask him why in response

:46:44.:46:48.

to the cross-party initiative back in February to get everyone around

:46:49.:46:52.

the table didn't he do that and save us all this trouble rather than

:46:53.:46:57.

finding both the contract? The cross-party initiative was in for a

:46:58.:47:00.

new contract, it was to abandon plans for a new contract and just

:47:01.:47:05.

have pilots in a few limited places and if we had followed that advice

:47:06.:47:09.

we would not now today had the biggest changes in junior doctor

:47:10.:47:14.

contracts for 17 years agreed with the BMA, and that was why the call

:47:15.:47:19.

we wanted was to get the agreement yesterday, safer carefully NHS and

:47:20.:47:24.

better deals for doctors. That is what we got and we wouldn't have if

:47:25.:47:32.

we listen to that advice? Can I join in the welcome for the agreement and

:47:33.:47:37.

the persistent and patients that eventually paid off. In previous

:47:38.:47:41.

statements I've raised with the sexual state this problem of married

:47:42.:47:48.

couples, both of whom are doctors, -- secretary of state. If they have

:47:49.:47:52.

roasters that clash, can he say a word about the progress made in this

:47:53.:47:56.

important area of making work more family friendly. I'm happy to do

:47:57.:48:08.

that. Is not easy dissolved because junior doctor at training places

:48:09.:48:12.

operate on six-month locations and are competitive. You get many more

:48:13.:48:20.

up applicants than there are posts available, so we have to find a way

:48:21.:48:25.

of balancing the need to respect family responsibility, something we

:48:26.:48:27.

would all want to do, with the need to have a fair process for the most

:48:28.:48:31.

competitive positions. I think we have not got the balance right to

:48:32.:48:39.

date, so we said cells Dott health education and where we decide people

:48:40.:48:41.

will go on rotation will have a duty to consider family response but is

:48:42.:48:45.

when they make decisions about those locations. I welcome the potential

:48:46.:48:55.

resolution, thank the Government for negotiation at the doctors having

:48:56.:48:59.

the courage to go on strike, which no one does likely to get a better

:49:00.:49:03.

deal for the NHS. I would ask the secretary of state to reflect on

:49:04.:49:08.

this and take further steps to build on his difficult relationship with

:49:09.:49:13.

NHS staff and stop resenting NHS policy and false dichotomy between

:49:14.:49:15.

the interests of patients and interests of NHS staff. If he had

:49:16.:49:23.

listened to what I said, for we said Beasley I don't think that the cost

:49:24.:49:26.

me exists, the false dichotomy as he says in the end what is right for

:49:27.:49:32.

patients is also right doctors, the thing that demoralises doctors and

:49:33.:49:36.

nurses and everyone working in hospitals and different part of the

:49:37.:49:39.

Ayrshires is when they are not able to give the care they want what they

:49:40.:49:44.

think is appropriate to the patients in front of them, which is why we

:49:45.:49:49.

see hospitals that have moved closes towards a seven-day services are

:49:50.:49:51.

also some of hospitals with the highest levels of morale in the NHS.

:49:52.:49:56.

He is right, it's not a false dichotomy and we need to do both

:49:57.:50:02.

together. As the sexual note, my brother and his wife were junior

:50:03.:50:05.

doctors when they made the decision to move over to New Zealand a long

:50:06.:50:10.

while ago. That was because of the long-standing cultural problems in

:50:11.:50:13.

the NHS. They will be pleased indeed about the announcement yesterday

:50:14.:50:20.

around the couples being able to work together in hospitals

:50:21.:50:23.

potentially. I have a question for my mother and it relates around what

:50:24.:50:30.

can you do now in order to encourage them and their friends back into the

:50:31.:50:39.

NHS? Let me say to your mother that I hope the message of this new

:50:40.:50:45.

agreement will go brightly way around the world and any doctors who

:50:46.:50:51.

have moved to New Zealand or Australia are always welcome to come

:50:52.:50:54.

back, and I think the thing that must unite this Government and the

:50:55.:51:01.

good doctors who work in the NHS is our commitment to making NHS care

:51:02.:51:04.

the safest and best in the world, and I think we had a terrible shock

:51:05.:51:09.

with what happened at mid-staffs, but we're using it as an moment of

:51:10.:51:14.

change, decisive change, NHS and were on the way to higher standards

:51:15.:51:17.

of care that are available in many other countries. Mother Howlett is

:51:18.:51:23.

satisfied, or idea we shall hear about it. -- or IDSA.

:51:24.:51:29.

Congratulations Government and everyone on getting this in place,

:51:30.:51:35.

it will have a knock-on effect in Northern Ireland into my

:51:36.:51:38.

constituency, when I went around Antrim area hospitals their concerns

:51:39.:51:42.

the number of doctors and how you get a seven day a week cover from

:51:43.:51:48.

everything else that needs to go on in the health service, which, and

:51:49.:51:51.

how we will deal with that and we will work with parliaments? I do

:51:52.:51:58.

agree, we need more doctors and more nurses and by the end of this

:51:59.:52:01.

parliament will have 1 million more over 70s in England alone and I know

:52:02.:52:05.

the demographic effect in Northern Ireland will be equivalent. Globally

:52:06.:52:09.

we have a shortage of about 7 million doctors, so we need to train

:52:10.:52:16.

more. We are training an extra 11,420 doctors over this parliament

:52:17.:52:20.

as part of the spending review. Because the training is done on the

:52:21.:52:23.

UK wide basis it is something we will need to work closely with all

:52:24.:52:29.

of the devolved regions. I warmly welcome this draft agreement and it

:52:30.:52:33.

will be met with some relief in Cheltenham. Whatever article the

:52:34.:52:36.

health concerns about the behaviour of the BMA in the past, does the

:52:37.:52:40.

Secretary of State agree it should be an admission that this should be

:52:41.:52:43.

part of the beginning of a more constructive future and will you

:52:44.:52:48.

join me in congratulating the BMA negotiations for being able to

:52:49.:52:51.

address constructively issues like Saturday pay. I'm happy to do that,

:52:52.:52:58.

and I recognised it was not easy for them because they are still

:52:59.:53:01.

involving changing the position that had for over three years. The result

:53:02.:53:07.

we got to admit that at the details was actually something that was not

:53:08.:53:10.

difficult for them to sign up to because they could see it really was

:53:11.:53:14.

better for their members as well as better for patients. I think the

:53:15.:53:18.

lesson is that the NHS faces huge challenges and can only be right to

:53:19.:53:21.

deal with these challenges by sitting around the table as

:53:22.:53:27.

negotiating constructively. I also warmly welcomed the news of the

:53:28.:53:31.

agreement and I hope it feeds into a settlement. Can I ask the Secretary

:53:32.:53:37.

of State if it is his intention to create a seven-day NHS, that will

:53:38.:53:41.

require the participation of more than just the junior doctors, will

:53:42.:53:45.

he bring forward a new contract for consultants? Or will he bring

:53:46.:53:49.

forward a new contract for hospital lab walkers or Amazon 's workers or

:53:50.:53:57.

nurses or indeed for catering staff? He is right. A seven-day NHS is not

:53:58.:54:03.

just or even mainly about junior doctors, their important part of the

:54:04.:54:07.

equation but we will need a new contract for consultants and we are

:54:08.:54:10.

having constructive negotiations with consultant about that. For

:54:11.:54:15.

other people working in the NHS, many are already or seven-day

:54:16.:54:21.

contract, so he is right to say that we are going to have to have

:54:22.:54:26.

diagnostic services operating across seven days so junior doctor working

:54:27.:54:30.

at the weekend will be up to get the result back for a diagnostic test

:54:31.:54:33.

the weekend and those are all part of the changes that we will make to

:54:34.:54:41.

make and it is safer for patients. Can I warmly congratulate both sides

:54:42.:54:45.

on reaching this agreement. Our NHS is different at weekends and my

:54:46.:54:53.

honourable friend is right to bring in the four key clinical standards

:54:54.:54:58.

on Sunday and Saturday. Would he agree it's important not simply to

:54:59.:55:03.

rely on mortality data, which are often difficult to interpret in

:55:04.:55:06.

underpinning the case for the seven-day NHS and will he look

:55:07.:55:09.

closely at other metrics based on clinical standards around things

:55:10.:55:13.

like endoscopy and routine lists on Saturday and Sunday and periods of

:55:14.:55:19.

care particularly, which does not feature in any hospital mortality

:55:20.:55:27.

data? He speaks very wisely on medical matters and I particularly

:55:28.:55:30.

agree when he speaks about palette of care, which has got better, but

:55:31.:55:36.

nonetheless there is a long way to go and we had recent evidence that

:55:37.:55:39.

it is particularly in need of improvement where we are not able to

:55:40.:55:47.

offer a seven-day part of support. I welcome this settlement and thank

:55:48.:55:53.

everyone involved for securing it. Many junior doctors remained

:55:54.:55:57.

concerned that as you increase the hours worked over a weekend you

:55:58.:56:04.

inevitably produce cover during the week -- Regis cover unless you buy

:56:05.:56:07.

more junior doctors to bridge that gap. With many rotors of ready on

:56:08.:56:13.

filter does not until around the country during the week how can he

:56:14.:56:16.

guarantee we will not make the situation worse during the week,

:56:17.:56:23.

thereby impacting on patient safety? I understand the concern and the

:56:24.:56:27.

short answer is that we need to increase the NHS workforce, which we

:56:28.:56:30.

are doing and we will see more doctors going into training during

:56:31.:56:33.

the course of this parliament, as were somewhat doctors going into

:56:34.:56:36.

training over the course of the last Parliament. More doctors in the

:56:37.:56:40.

workforce will be an important part of the solution. At the start of the

:56:41.:56:48.

recent negotiations appears that the payment for Saturday working was the

:56:49.:56:52.

main sticking point from the BMA but it appears from this negotiation now

:56:53.:56:57.

that the issue of weekend pay has been resolved, can my honourable

:56:58.:57:02.

friend confirmed that the position now is that this can lead for the

:57:03.:57:07.

doctors that are working extended hours for the weekend will get extra

:57:08.:57:11.

pay and patients can see a seven-day week NHS, which we all want to see?

:57:12.:57:19.

It is much fairer for doctors than the current system. We are giving a

:57:20.:57:26.

pay rise of between 10-11%, for which we are saying people are

:57:27.:57:30.

expected to work one weekend day a month. The doctors who work more

:57:31.:57:37.

than that get more and it goes up T more weekends you work the more

:57:38.:57:40.

extra pay you get. That is one of the reasons the BMA was prepared to

:57:41.:57:45.

sign up to this agree. It does value the people who give up the most

:57:46.:57:50.

weekends. I was contacted by a constituent,

:57:51.:57:55.

who told me how his four-year-old daughter fell through a pane of

:57:56.:58:01.

glass, severely cutting her face. Unfortunate natly this accident --

:58:02.:58:06.

unfortunately this accident had on a Friday evening because there were

:58:07.:58:10.

insufficient doctors working she could not have on operation until

:58:11.:58:16.

the Monday. That four-year-old girl will now suffer severe facing

:58:17.:58:20.

scarring for the rest of her life. Does my friend agree with me, that

:58:21.:58:25.

is the republic why we need a seven-day NHS. I couldn't have put

:58:26.:58:29.

it better myself. Those are the stories we hear from our

:58:30.:58:32.

constituents, from our families. That is why yesterday was an

:58:33.:58:37.

important step forward in terms of that seven-day agenda. I must

:58:38.:58:42.

confess to being puzzled because the BMA have said all along this strike

:58:43.:58:46.

and dispute was nothing to do with weekend pay and terms. Yet, after

:58:47.:58:51.

discussions, negotiations which were limited simply to weekend pay and

:58:52.:58:57.

terms, the BMA have now come to a deal and advised against strike

:58:58.:59:02.

action. Can we take it despite much huffing and puffing this was about

:59:03.:59:05.

the future of the NHS and the rest of it, at the end of the day it was

:59:06.:59:11.

all about weekend pay and terms? I think he is right that was the big

:59:12.:59:16.

sticking point and their willingness to be flexible and the goshiate on

:59:17.:59:22.

that which made -- and negotiate on that which made it possible. There

:59:23.:59:27.

are many other noncontractual issues in the way that doctors are trained

:59:28.:59:31.

and treated by the NHS. We want to use this as an opportunity to put

:59:32.:59:38.

that right. Can I congratulate on the Secretary of State op putting

:59:39.:59:43.

patients first. Those people who had their operations cancelled during

:59:44.:59:55.

industrial action. Looking at people on the back-burner or poss pope

:59:56.:00:01.

their medical -- or postpone their medical care? That is a view some

:00:02.:00:07.

share. Doctors have obligations now under the Medical Act not to take

:00:08.:00:13.

action which would harm patients and under their responsibilities to the

:00:14.:00:17.

General Medical Council. They have to be aware of those. What I hope is

:00:18.:00:21.

that question does not arise again, we are having constructive

:00:22.:00:24.

discussions with the BMA. It is the way forward and I hope that neither

:00:25.:00:29.

myself or any future Health Secretary has to go through what we

:00:30.:00:36.

have during the last ten months. I explored the tone and content of the

:00:37.:00:40.

remarks today. It will go down as a break through in the NHS. It has

:00:41.:00:44.

been very uncomfortable to have dialogue with constituents who are

:00:45.:00:48.

junior doctors who have felt aggrieved. So, I have particularly

:00:49.:00:52.

welcomed the way he's been able to look at noncontractual issues. I

:00:53.:00:55.

would urge him to look very strongly at the issue of -- the outcome of

:00:56.:01:02.

the Bailey review so he can move forward on morale and the wider

:01:03.:01:06.

issues which have been raised. Well, I just finish by saying I

:01:07.:01:14.

complete aagree with him. It's been a very sad dispute. We recognise

:01:15.:01:18.

that junior doctors are the back bone of the NHS. They work very

:01:19.:01:22.

hard. They often work the most weekends already. I think it is

:01:23.:01:26.

therefore a brilliant step forward that we have an agreement. But the

:01:27.:01:30.

constituents that he talks about and that we all have who work hard for

:01:31.:01:34.

the NHS are the people we want to value. Therefore, dialogue,

:01:35.:01:41.

constructive discussion must be the way

:01:42.:01:43.

Download Subtitles

SRT

ASS