22/11/2016

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:00:00. > :00:00.Minute Rule motion. We were in a moment do so. Colleagues leaving the

:00:00. > :00:10.chamber... If you can do so quickly and quietly. We can proceed with the

:00:11. > :00:21.Ten Minute Rule motion which the honourable lady has been patiently

:00:22. > :00:25.waiting. Louise Hague. Thank you, Mr Speaker, I beg leave to introduce a

:00:26. > :00:28.bill to amend the employment rights act but in that sector make

:00:29. > :00:34.provision for leave of persons donating body organs for transplant.

:00:35. > :00:37.Can I start Mr Speaker by sending my thanks and I'm sure the thanks of

:00:38. > :00:42.the whole house to the nurses and medical staff who make up the NHS

:00:43. > :00:46.Blood and Transplant service and the staff who run the NHS organ donation

:00:47. > :00:50.register. It is relatively small team in the grand scheme of things

:00:51. > :00:52.but it is thanks to their effort and their utter brilliance that

:00:53. > :00:57.thousands of lives are saved each year might otherwise have been lost.

:00:58. > :01:00.And it is thanks to the ingenuity and dedication that lasted organ

:01:01. > :01:04.donations in the UK reached a record high. The difference they are making

:01:05. > :01:08.the families whose loved ones have been given a new chance at life

:01:09. > :01:12.often goes unsaid. I would also like to take this opportunity to note the

:01:13. > :01:16.work of honourable members including the member for Burton and Uttoxeter

:01:17. > :01:19.and the member for Montgomeryshire who have put the issue of organ

:01:20. > :01:25.donation firmly on the Parliamentary agenda. Organ donation is improving

:01:26. > :01:30.year on year. In part due to small changes such as the option to sign

:01:31. > :01:34.up every time you renew your driving licence. Last year alone that method

:01:35. > :01:39.saw an extra half million people register to become potentially

:01:40. > :01:44.life-saving donors. These are small changes making a huge difference.

:01:45. > :01:49.But as the NHS Blood and Transplant service has said, there is an awful

:01:50. > :01:54.lot of work to be done. Not only to raise and sent figures, currently at

:01:55. > :01:58.62% despite evidence which suggests that over 90% of the public would

:01:59. > :02:00.give their organs in death, but also to encourage families to have a

:02:01. > :02:05.difficult conversation about what we'd you do if the unthinkable

:02:06. > :02:11.happened. Because family refusal after the death of a loved one is

:02:12. > :02:14.sadly the single biggest barrier to organ donation. Of course it is

:02:15. > :02:17.completely understandable and natural that in the aftermath of a

:02:18. > :02:22.life changing was all we want to do was preserve that left behind. But

:02:23. > :02:26.if 80% of families consented 1000 more lives a year could be saved and

:02:27. > :02:31.1000 more families kept together. I would like to take this opportunity

:02:32. > :02:34.to gently urged families today to have that conversation, find out

:02:35. > :02:37.their wishes, tell them yours, because the chances are if the

:02:38. > :02:41.unthinkable happened your loved one would want to save a life. But Mr

:02:42. > :02:45.Speaker while much of the focus is rightly delegated to those brave

:02:46. > :02:49.families who have made that difficult decision it is living

:02:50. > :02:53.donors who should also be hailed for the selflessness. To give a kidney,

:02:54. > :02:56.part of the liver or bone marrow in order to save the life of someone

:02:57. > :03:00.they may never even have met. And it is living donors to whom my bill

:03:01. > :03:05.would guarantee legal rights that so far they have not enjoyed. 6000

:03:06. > :03:08.people nationwide currently are going through the utter agony of

:03:09. > :03:14.waiting for the call that could save their lives. But their availability

:03:15. > :03:18.year in, year out for those organs never matches need. Living organ

:03:19. > :03:21.donors are playing a very significant part in bridging the

:03:22. > :03:26.heartbreaking gap. Last year alone over 1000 of that part of the liver

:03:27. > :03:30.or kidney and many more donated bone marrow. Because of their

:03:31. > :03:35.requirements and criteria for organ donors many are often of working age

:03:36. > :03:39.and in work. Now it hardly needs saying that giving an organ is an

:03:40. > :03:44.enormous commitment and if you are an employee the time needed off work

:03:45. > :03:49.may give you pause for four. The NHS advises that living donors can

:03:50. > :03:52.expect up period of up to 12 weeks recovery time. This will vary from

:03:53. > :03:56.person-to-person and depending on what job you do but the point is it

:03:57. > :04:00.is a very serious commitment for any would-be donor. You had to weigh up

:04:01. > :04:04.whether you can afford to take the time off, if your boss insists you

:04:05. > :04:08.take leave unpaid, and you have to wait for any compensation to come

:04:09. > :04:12.through from the relevant NHS Trust. You have to weigh up whether you can

:04:13. > :04:16.make the commitment to be out of work for that length of time. And

:04:17. > :04:21.you are all the way is worrying in case your positional terms and

:04:22. > :04:24.conditions are not quite the same on your return. That uncertainty is

:04:25. > :04:28.unacceptable. It is putting barriers in the path of people becoming

:04:29. > :04:34.life-saving donors and currently the law has nothing to say. This issue

:04:35. > :04:38.was brought to my attention by a man who told me he had donated bone

:04:39. > :04:42.marrow to an anonymous blood cancer patient. He was allowed just three

:04:43. > :04:47.days off work and paid to cover the time in hospital. He felt pressured

:04:48. > :04:54.to return and he was accused of making himself sick by his employer.

:04:55. > :04:58.It is just one the full that it tells us of the pressures faced by

:04:59. > :05:02.workers who may want to donate. Any and all barriers standing in the way

:05:03. > :05:07.of living donors must be dismantled. And a lack of legal employment

:05:08. > :05:12.protection is holding these potential life-savers are

:05:13. > :05:16.significant and can be easily corrected by government. For young

:05:17. > :05:19.people in particular who have the highest likelihood of donating

:05:20. > :05:24.high-quality bone marrow, that time out of the work may completely

:05:25. > :05:30.determines that is why my bill would guarantee living organ donors to

:05:31. > :05:37.paid time off to allow them to recover and they will have their job

:05:38. > :05:39.guaranteed. So the employees not checking their phone, worried they

:05:40. > :05:42.might get a call from the boss of rushing back because they are where

:05:43. > :05:47.they should be that this can have the time off to take the time to get

:05:48. > :05:50.better which they so deserve. This bill will also guarantee that their

:05:51. > :05:55.terms and conditions on rights are the same on their return as when

:05:56. > :05:59.they left. In an age when workers feel increasingly insecure in their

:06:00. > :06:03.job and where at the sharp end of the economy unscrupulous employment

:06:04. > :06:07.practices and rights are rife, these legal garages can make the

:06:08. > :06:10.difference between donating and not. We are already chronically short of

:06:11. > :06:14.donors and we should be clearing every conceivable barrier put in the

:06:15. > :06:18.way of these potential life-savers. I'm delighted that major businesses

:06:19. > :06:26.like my own former employer, Aviva, and the DIY retailer Wickes back

:06:27. > :06:33.Michael. It is fantastic cross-party group of MPs supporting it as. Each

:06:34. > :06:36.donation is an astonishing story of bravery in its right and a life

:06:37. > :06:41.changing moment for the individuals and families who benefit the

:06:42. > :06:45.generosity. As work gets increasingly precarious employs must

:06:46. > :06:47.rely on the protections in law which guaranteed their rights. These

:06:48. > :06:52.counties will not only bring peace of mind but will help increase the

:06:53. > :06:56.number of living donors from 1000, and bridge the gap between

:06:57. > :07:00.availability and need. And crucially it will send a clear signal from

:07:01. > :07:04.government and from this house that if you are prepared to give an organ

:07:05. > :07:09.to save a life, then we will back you every step of the way.

:07:10. > :07:19.As many as are of the opinion, say "aye".

:07:20. > :07:29.To the contrary, "no". I think the ayes that, the ayes it. Who will

:07:30. > :07:31.prepare and bring in the build? Cavern west, Greg Mulholland, Sarah

:07:32. > :08:10.Wollaston and myself, sir. Second reading, what day? Friday

:08:11. > :08:14.20th January. Thank you. Order. We now come to the opposition Day

:08:15. > :08:19.motion in the name of the Leader of the Opposition on education and

:08:20. > :08:25.social mobility. I informed the howls that I have selected the

:08:26. > :08:33.amendment in the name of the Prime Minister. I should advise the howls

:08:34. > :08:37.that a very substantial number of backbench members have applied to

:08:38. > :08:44.speak. If memory serves me correctly, no fewer than 28. The

:08:45. > :08:49.debate, realistically, I imagine, will not run beyond 4pm, or at the

:08:50. > :08:53.latest 4:30pm. Of course, there is no limit on front bench speeches.

:08:54. > :08:58.The frontbenchers tend to take significant numbers of

:08:59. > :09:03.interventions, privately properly, that is favoured by the howls, but

:09:04. > :09:06.I'm sure at that those ventures will wish to tailor their contributions

:09:07. > :09:14.in the light of what I have just said. To move the motion, I called

:09:15. > :09:19.this secretary -- Shadow Secretary of State for Education.

:09:20. > :09:24.I hope to try and be brief, but substantive in my comments today. I

:09:25. > :09:28.would like to start by saying thanks to the emergency services across the

:09:29. > :09:31.UK who have helped many of our constituents during the floods

:09:32. > :09:38.yesterday, in particular those held my constituents and businesses. It

:09:39. > :09:41.should be the duty of all governments to provide the best

:09:42. > :09:46.education for every child. Today we will be calling on the whole House

:09:47. > :09:50.to show that they share with this commitment. Because only last

:09:51. > :09:54.Wednesday, we heard that Britain has a deep social mobility problem, and

:09:55. > :10:00.for this generation of young people in particular, it is getting worse

:10:01. > :10:03.and not better. And that this was in result of an unfair education

:10:04. > :10:12.system, a two tier labour markets, and an balance labour economy, and

:10:13. > :10:18.an unaffordable housing market. Not to not accusations from -- are not

:10:19. > :10:24.an accusation from the opposition, but the conclusion of the governed's

:10:25. > :10:28.own mobility commission. How can we offer the best art and life every

:10:29. > :10:37.child, but and crucially new academic solution -- site and was

:10:38. > :10:42.not one of them. Happy to give way. Can you inform the House precisely

:10:43. > :10:48.how many grammar schools she has visited before opposing the paper

:10:49. > :10:54.today? At I say, as a parent and school

:10:55. > :10:58.governor and someone who represented trade union members, I have visited

:10:59. > :11:04.many grammar schools. My contribution to this debate will be

:11:05. > :11:08.on fact and evidence. I hope the honourable member will look the

:11:09. > :11:16.facts and evidence vote accordingly. In fact, they offered social

:11:17. > :11:20.mobility is a clear recommendation to abandon any such plans. They said

:11:21. > :11:26.that because they know social mobility is facing a crisis. And

:11:27. > :11:29.that further academic selection is simply not the answer. In fact, it

:11:30. > :11:34.will only entrench the problem. I give way.

:11:35. > :11:39.I thank the honourable lady. Which explain why it's all right for my

:11:40. > :11:46.constituents to be able to go to a grammar school and Birmingham, but

:11:47. > :11:51.not to go to a grammar school and Brierley Hill, because is no

:11:52. > :11:56.provision that? I will explain exactly why we need

:11:57. > :11:59.to be moving away from selection and having improvement within our

:12:00. > :12:06.education system. Those conclusions from that commission will find much

:12:07. > :12:10.support in this House, not just on these benches, but, I hoping, an

:12:11. > :12:13.opposition benches as well. But we still haven't heard from the Prime

:12:14. > :12:16.Minister as any of these recommendations will be adopted. I

:12:17. > :12:21.give way. Before we have to listen to the

:12:22. > :12:25.sixth form debating points from the party opposite, dishes agree with me

:12:26. > :12:29.that what they ought to do is to be setting out the evidence for this

:12:30. > :12:34.policy, setting out where these schools will be, what the war costs,

:12:35. > :12:37.where the resources will come from, what the pupils will learn that, and

:12:38. > :12:44.even how they would offer from existing schools?

:12:45. > :12:49.I agree with the honourable member, and there is clearly many questions

:12:50. > :12:55.to be answered on where the evidence is for this type of policy. I would

:12:56. > :13:00.like to get the Education Secretary the chance to end this uncertainty

:13:01. > :13:03.with an assistant today. Can she tell us which of the commission's

:13:04. > :13:09.recommendations she will be accepting, and whether they have

:13:10. > :13:11.rejected the recommendation on schools in particular? The

:13:12. > :13:19.challenges we face go much further than this one misguided policy. I

:13:20. > :13:23.give way. Last year in Ashfield, 66% of

:13:24. > :13:34.children from disadvantaged backgrounds did not get their five

:13:35. > :13:40.GCSEs. This is the real scandal, not the grammar school system?

:13:41. > :13:43.I thank her for her splendid intervention, because we know that

:13:44. > :13:48.increasing selection is not the answer to the current crisis that is

:13:49. > :13:51.facing our school system. I give way.

:13:52. > :13:57.Isn't it a fact that the demand for a grammar schools is coming from

:13:58. > :14:02.those wealthy parents who are seeing private education more and more

:14:03. > :14:11.priced out of their reach? With over ?21,000 fees now. It is a fact that

:14:12. > :14:16.there are four times more children who are going to privately paid prep

:14:17. > :14:20.schools getting into grammar schools than there are from other state

:14:21. > :14:26.schools. Surely we shouldn't let people get an elite education on the

:14:27. > :14:30.cheap paid for by the taxpayer? I think the honourable member for

:14:31. > :14:34.his contribution. Of course, the commission that was out last week,

:14:35. > :14:39.said that those finding it hard to progress are not just the most

:14:40. > :14:43.disadvantaged, but those earning around ?22,000 Bojan. Those of a

:14:44. > :14:47.hard-working families that people that are just getting by, that this

:14:48. > :14:52.Prime Minister pledged to support on the steps of ten Downing St. So I

:14:53. > :14:56.want to find common cause with members from all sides and all

:14:57. > :15:00.parties in making Britain a country in which every child gets an

:15:01. > :15:05.excellent education and the best start in life.

:15:06. > :15:09.When she goes to watch one of our best sports teams in the country,

:15:10. > :15:13.does she problem that they were selected and given an elite

:15:14. > :15:17.education? I mean, the honourable member knows

:15:18. > :15:22.that this is a completely different issue. And as Italy on member, as I

:15:23. > :15:30.say to all across this House, follow the evidence.

:15:31. > :15:35.I thank my honourable friend forgiving way. Talking of excellence

:15:36. > :15:41.in sports, would she agree with me that we should celebrate the fact

:15:42. > :15:46.that Mo Farah and went to a state school in my Anderson Dame

:15:47. > :15:56.constituency, that school is now suffering from cuts, and is...

:15:57. > :16:04.He is also a staunch Arsenal fan which makes an even greater man.

:16:05. > :16:08.I thank my honourable friend the making that point. We need to ensure

:16:09. > :16:12.every child makes the best progress in life, and we know that selection

:16:13. > :16:17.is not the way forward. I will make progress before take more

:16:18. > :16:22.interventions. I want to find common cause. I know there are many on the

:16:23. > :16:26.Government benches were agree with me that expanding academic selection

:16:27. > :16:30.is hardly the best way to do that. For instance, members of all parties

:16:31. > :16:35.will note that all the evidence tells us that providing an excellent

:16:36. > :16:41.education starts at the earliest point. Access to childcare and early

:16:42. > :16:46.years education is absolutely vital. Not just in helping children, but

:16:47. > :16:51.and helping every family fulfil their potential. Indeed, by the time

:16:52. > :16:56.that they will take the 11-plus, children from the most disadvantaged

:16:57. > :16:59.backgrounds are already, on average, ten months behind. The evidence

:17:00. > :17:04.shows that investment in early years is the best way to close the

:17:05. > :17:10.attainment gap between the most disadvantaged children and their

:17:11. > :17:15.affluent peers. I give way. Does the honourable lady agree with

:17:16. > :17:18.David Cameron who said, there's a hopelessness and the demand to bring

:17:19. > :17:22.back grammar is, an assumption that this country will only ever be able

:17:23. > :17:27.to offer decent education to a select few?

:17:28. > :17:31.I think the honourable member for her contribution, and I find myself

:17:32. > :17:35.agreeing with the former Prime Minister, who was obviously elected

:17:36. > :17:40.to make those contributions within this debate. That is the platform

:17:41. > :17:46.and manifesto at the Conservative Government stood on, that they are

:17:47. > :17:49.currently rejecting. I know from own personal experience, as parents

:17:50. > :17:54.across the chamber well, the incredible impact childcare can

:17:55. > :17:59.have, not just on children and their education, but on their entire

:18:00. > :18:04.families. Leaving school at 16, with no qualifications, and a newborn

:18:05. > :18:08.son, it was Labour's sure start centres that help me be a better

:18:09. > :18:13.parent for my son. I know that I would not be speaking in this House

:18:14. > :18:17.today without those programmes. And they have helped offer my son the

:18:18. > :18:22.opportunities that I never had growing up.

:18:23. > :18:27.What with the honourable lady say to parents and my constituency in

:18:28. > :18:30.Croydon where there are no grammar schools, have to travel for miles

:18:31. > :18:36.and miles to an adjacent grammar school? She is seeking to deny them

:18:37. > :18:42.choice, issue not? I say to the honourable member, I

:18:43. > :18:45.want to ensure that every child has the best start and opportunities in

:18:46. > :18:50.life. Not that they had to travel miles away from his constituency. I

:18:51. > :18:53.want his constituents to have the best education possible, and that is

:18:54. > :18:59.why selection does not provide that every child.

:19:00. > :19:03.My friend is making an outstanding opening speech in this debate. On

:19:04. > :19:08.that point of choice, it did she agree with me that, in this debate,

:19:09. > :19:11.the issue of choice is a nonstarter? Because the choice is not with the

:19:12. > :19:15.parents, the choices with this school. The skill gets to choose the

:19:16. > :19:20.kids, the parents don't get to choose the school. Invariably, the

:19:21. > :19:25.school choose the children on a financial and social well being

:19:26. > :19:30.rather than anything else. Absolutely. And I absolutely agree

:19:31. > :19:32.with the honourable member for Manchester Central, and pay tribute

:19:33. > :19:40.to her head standing work that she did on the front bench. I will make

:19:41. > :19:43.more progress. The social mobility commission talked about treadmill

:19:44. > :19:48.families, who are running faster but I stuck in the same place. There are

:19:49. > :19:52.working hard, but don't have anything to show for it at the end

:19:53. > :19:56.of the week. Childcare and early years intervention would do far more

:19:57. > :20:03.to address these problems than would a focus on new academic selection at

:20:04. > :20:09.11. Yet, we have seen the closure of over 800 sure start centres since

:20:10. > :20:15.2010. And the loss of around 45,000 childcare places, and the closure of

:20:16. > :20:17.1000 childcare providers in the last five years. And there are similar

:20:18. > :20:24.challenges facing our existing schools. The Institute for Fiscal

:20:25. > :20:29.Studies has shown that our schools are facing a real terms cut in their

:20:30. > :20:34.budgets for the first time in nearly two decades, just as the demand for

:20:35. > :20:37.school places is growing. We already know the consequences -

:20:38. > :20:42.was staff leaving, more schools in disrepair, more courses being

:20:43. > :20:47.caught. The Department education has ready method is teacher training

:20:48. > :20:53.targets four years in a road, while more inexperienced teachers are

:20:54. > :20:58.leaving the profession in record numbers, and 500,000 pupils are now

:20:59. > :21:02.taught in super-sized classes. It should be our mission to provide an

:21:03. > :21:07.excellent education for all children, and we know what is needed

:21:08. > :21:11.to provide that. It is a high-quality, early years education.

:21:12. > :21:16.The best heads and teachers teaching the right curriculum and manageable

:21:17. > :21:23.classes in decent school buildings with high standards and good

:21:24. > :21:26.behaviour. Mr Speaker, let me say to the Education Secretary, and all

:21:27. > :21:32.those on Government benches, that if they do take serious action to make

:21:33. > :21:36.the changes our education system needs, then I will be the first to

:21:37. > :21:41.support them. Because education policy should not be about

:21:42. > :21:44.ideological dogma, but about looking at third of the evidence and

:21:45. > :21:49.bridging policies that will improve the lives of all children.

:21:50. > :21:55.Would she agree with me that the academy programme has delivered

:21:56. > :21:58.considerable success and could she give her unequivocal support to the

:21:59. > :22:04.Academy programme and could then members of the NUJ that picketed the

:22:05. > :22:07.Kimberley school in my constituency when it had the temerity to break

:22:08. > :22:14.free from the local authority and established an excellent Academy?

:22:15. > :22:19.What I would say and what I hope we can agree on is actually we know it

:22:20. > :22:22.is not about the vehicle, it is about the drivers in education and

:22:23. > :22:26.focusing on vehicles is not actually dealing with the fundamental issue

:22:27. > :22:34.of our dealing with collaboration, leadership and good teaching. And

:22:35. > :22:37.then to make some more progress. The purpose of today's debate, Mr

:22:38. > :22:42.Speaker, is to send a message that members of all parties are committed

:22:43. > :22:46.to an evidence -based approach to education policy. And not pursuing

:22:47. > :22:50.the failed policy of academic selection. Because we know that this

:22:51. > :22:54.policy is not the answer to Britain's social mobility crisis.

:22:55. > :23:03.And the government knew that can be in. Until very recently. Indeed the

:23:04. > :23:10.Conservative Party, the one who won an election has explicitly promised

:23:11. > :23:14.not to do so. Only just gone but so quickly forgotten. And why has that

:23:15. > :23:18.pledge being ripped up by the new Prime Minister? The Education

:23:19. > :23:25.Secretary has said it is to help solve Britain's mobility crisis. But

:23:26. > :23:28.the evidence is scanned, and without reciting it at length I think the

:23:29. > :23:35.recent backbench business debate focusing precisely on the evidence

:23:36. > :23:41.by my honourable friend for the member for Wigan demonstrated that

:23:42. > :23:43.this is conclusive. That is why I'm not to take individuals on that

:23:44. > :23:47.point, I am going to make some progress. We know that those from

:23:48. > :23:51.disadvantaged backgrounds are far less likely to get into selective

:23:52. > :23:55.schools, even if they are just as bright as they're better off ears,

:23:56. > :24:01.and we know that even if they do get in the impact on their attainment is

:24:02. > :24:05.minimal at best. It is not just those of us on this side of the

:24:06. > :24:09.house and know that. Dozens of others know it and Mr Speaker it is

:24:10. > :24:16.a mistake and priority that this policy shows that as of the greatest

:24:17. > :24:21.concern. I want to wrap up shortly. Already in the consultation document

:24:22. > :24:24.launched in November the government pledged ?50 million to help existing

:24:25. > :24:29.grammar schools expand. The same green paper made a series of

:24:30. > :24:33.substantial unposted pledges to those schools that want to become

:24:34. > :24:38.grammars. Or the Academy chains that want to open them. And now just this

:24:39. > :24:42.weekend government sources have briefed the Sunday Times that there

:24:43. > :24:45.will be tens of millions more to help run the schools expand. The

:24:46. > :24:50.idea that this is the way the government should spend taxpayers

:24:51. > :24:52.money is simply baffling. When nurseries across the country are

:24:53. > :24:57.facing closure because the government will not deliver the

:24:58. > :25:00.investment needed to deliver on their manifesto pledge to deliver 30

:25:01. > :25:07.hours of free childcare awake when our schools are facing deeper cuts

:25:08. > :25:15.in their budgets van and any time since the 1970s, why is this money

:25:16. > :25:18.being taken away from them? My honourable friend has made an

:25:19. > :25:22.outstanding speech this afternoon and haven't we seen the problem with

:25:23. > :25:25.Tory education thinking this afternoon? They think that some

:25:26. > :25:28.types of school are better than others, and some children deserve

:25:29. > :25:33.better opportunities than others. That is what is so entirely wrong

:25:34. > :25:36.with what they are arguing today. I thank the honourable member and that

:25:37. > :25:42.is the real rub, that is the difference between the size and the

:25:43. > :25:45.benches opposite. We believe that teachers are invaluable to making

:25:46. > :25:49.sure that our schools are the best they possibly can be rather than the

:25:50. > :25:53.vehicle in which those vehicles and drivers take their admission

:25:54. > :25:56.forward. We know that there are members across this house agree that

:25:57. > :26:01.this is not the way we should spend school budgets. Members in the

:26:02. > :26:05.devolved nations will want to know the implications on their own school

:26:06. > :26:08.budgets as well and I know there are many members on the government

:26:09. > :26:12.benches who share the view of those on the Labour benches that education

:26:13. > :26:15.is the key to social mobility and that for all our differences on

:26:16. > :26:19.policy they would not want to see the government wasting the

:26:20. > :26:24.Department for Education's budget on an ineffective vanity project. That

:26:25. > :26:30.must be the key test of every spending commitment made by the

:26:31. > :26:34.Secretary of State. I will give way. I'm very grateful. Perhaps she could

:26:35. > :26:37.clarify, we have heard her position in relation to grammar schools, is

:26:38. > :26:49.her position that the government should close all grammar schools

:26:50. > :26:52.that already exist? Was it worth it? Again I would reiterate my point is

:26:53. > :26:57.that the members across all sides of this house have the absolute

:26:58. > :27:01.responsibility to make sure that policies that they'd use in this

:27:02. > :27:08.house for the education of all our children are in the best interest

:27:09. > :27:10.and our evidence based. It must be the key test of every spending

:27:11. > :27:16.commitment made by the Secretary of State. Will this money be spent on

:27:17. > :27:21.something that we know will improve the lives of children across this

:27:22. > :27:25.country? Whatever their background? This is the point of our motion

:27:26. > :27:31.today, Mr Speaker, and I urge all members across this house to ensure

:27:32. > :27:40.that our collective endeavour is always for the best education for

:27:41. > :27:48.every child. The question is to move the amendment in the names of the

:27:49. > :27:50.finest air. I call the Secretary of State for Education, Justine

:27:51. > :27:54.Greening. Thank you and I beg to move the amendment standing in my

:27:55. > :27:58.name and in my right honourable friend's. Social mobility is

:27:59. > :28:01.something that matters usually to discover that and of course to

:28:02. > :28:05.members across this house. It is easy first to say that where

:28:06. > :28:08.somebody starts shouldn't dictate where they finish. But the greatest

:28:09. > :28:11.challenge will face is that in reality it still does make a

:28:12. > :28:17.difference and it has for generations. And as the social

:28:18. > :28:21.mobility Commissioner's report last week tells us, just 5% of children

:28:22. > :28:26.on free school meals gained five good GCSEs, they are 29% less likely

:28:27. > :28:31.to take two or more of the facilitating A-levels that can help

:28:32. > :28:36.keep their options open. The 34% more likely to drop out of post-16

:28:37. > :28:41.education altogether. It is no surprise there for that they are 19%

:28:42. > :28:49.less likely to go to university. And 47% less likely to attend a top

:28:50. > :28:53.Russell group institution. Given the excellent case she is laying out,

:28:54. > :28:57.how is it that these statistics can be changed by grammar schools when

:28:58. > :29:04.currently only 3% of kids on free school meals go to grammar schools?

:29:05. > :29:08.I will come onto that in my speech but I would also say to her that we

:29:09. > :29:13.do have grammar schools and I think it is quite right for us as a

:29:14. > :29:17.government to set out the case for how it can make sure that grammar

:29:18. > :29:22.schools play their full role in driving social mobility. Mr Speaker

:29:23. > :29:25.want to set up the number of facts in relation to the prospects for too

:29:26. > :29:30.many young people from disadvantaged backgrounds and none of these facts

:29:31. > :29:33.should be acceptable to us. They certainly are not to me all this

:29:34. > :29:38.government. I believe social mobility matters. I will give way in

:29:39. > :29:44.a minute. Social mobility matters for several key reasons, firstly it

:29:45. > :29:47.matters for individuals, I believe the innate desire for people to do

:29:48. > :29:51.well is one of the most powerful forces of change in our country and

:29:52. > :29:55.social mobility is about our country working with the grain of human

:29:56. > :30:01.nature. Secondly, social mobility matters for communities, because

:30:02. > :30:05.fundamentally feeling like we all have an equal shot at success,

:30:06. > :30:11.having equal opportunity, is the glue that binds us together. And

:30:12. > :30:13.social mobility matters for economy. Because investing in people is a

:30:14. > :30:18.core part of how we raise productivity. Yes we need to build

:30:19. > :30:23.roads and railways but we're determined to build up people. I

:30:24. > :30:30.will give way. I grateful. How can the government claim to be the party

:30:31. > :30:34.of social mobility when 800 children centres were closed, 29 nursery

:30:35. > :30:38.schools closed in the last year alone? Letting down a whole

:30:39. > :30:41.generation of kids of two, three and four years old because if they fall

:30:42. > :30:47.behind at that age you never catch up. And, of course early years does

:30:48. > :30:50.matter which is one of the reasons why are investing in not only in

:30:51. > :30:53.improved but more childcare for parents around this country. For

:30:54. > :30:59.working parents in particular because we do think having a strong

:31:00. > :31:03.start subsidy vital. As I was saying, this isn't just about

:31:04. > :31:06.improving the prospects of individual people and communities,

:31:07. > :31:10.it is about improving the prospects of our country and its economy. We

:31:11. > :31:18.have to build our country's economy by building our people. Canyon of a

:31:19. > :31:23.lady explained to the house how having additional secondary modern

:31:24. > :31:28.schools in this country is going to do anything she aspires to? Of

:31:29. > :31:34.course this isn't about additional secondary modern schools, and this

:31:35. > :31:38.isn't about a return to a binary system. Reforms of the last six

:31:39. > :31:42.years have really enabled children and parents to have a more diverse

:31:43. > :31:47.offer and set of choices for education have ever seen before. But

:31:48. > :31:51.it is now time that we look and see how grammar schools can play a

:31:52. > :31:58.stronger role in our education system in the 21st-century. I know

:31:59. > :32:00.that in her opening speech she is citing much of the evidence from the

:32:01. > :32:05.social mobility commission report published last week about the

:32:06. > :32:10.challenge that our country faces, so why, they're four, when she adopt in

:32:11. > :32:15.full the recommendations of that report as to how we will actually

:32:16. > :32:19.tackle some of these are inequalities rather than cherry

:32:20. > :32:24.picking the little bits of it she wants? Thereupon I think quite

:32:25. > :32:31.quietly set out that what we need to pull together is a much longer term,

:32:32. > :32:34.our government talked about a 10-year programme, of social reform.

:32:35. > :32:39.And actually they also pointed towards our focus on improving

:32:40. > :32:43.attainment in schools. And the bottom line is that I don't think we

:32:44. > :32:49.are really going to make significant progress on this issue of social

:32:50. > :32:52.mobility until we can start focusing on the areas of commonality and

:32:53. > :32:58.common ground rather than spending our entire time focusing from the

:32:59. > :33:04.opposition on areas where they don't agree. Let me make some progress, Mr

:33:05. > :33:07.Speaker. I was setting out why this government believes that driving

:33:08. > :33:13.social mobility matters so much. But I also wanted to set out that in

:33:14. > :33:16.reality, as challenging as it is for our country, there is no country in

:33:17. > :33:20.this world that has managed to crack the issue of social mobility, yet,

:33:21. > :33:25.that is because it is highly complex. It has many factors that

:33:26. > :33:29.feed into it, and it is because improving social mobility is as the

:33:30. > :33:33.social mobility commission says, a long-term issue which needs a

:33:34. > :33:39.long-term approach and not to be simply treated like a political

:33:40. > :33:44.football for short-term political gain. If we are going to make a

:33:45. > :33:49.difference, social mobility is a generational challenge that we must

:33:50. > :33:54.tackle together on behalf of the next generation. The difference I

:33:55. > :33:56.think Mr Speaker may be that fundamentally focused social

:33:57. > :34:02.mobility is an agenda of levelling up opportunity, to those who don't

:34:03. > :34:06.have it, something I hope we can all agree is the right thing to do and

:34:07. > :34:15.education of course is that the heart of how we do that. That point

:34:16. > :34:21.can I congratulate my writable friend on this success of the pupil

:34:22. > :34:24.premium? I am grateful for that intervention and of course not only

:34:25. > :34:30.is that spending protected through the course of this Parliament but we

:34:31. > :34:32.are also now working with the education endowment fund to make

:34:33. > :34:36.sure we can really understand how we can get the best and biggest impact

:34:37. > :34:40.in that investment for disadvantaged children and indeed I went to see a

:34:41. > :34:46.grammar school last week where a high proportion of free school

:34:47. > :34:49.children and people eligible for the pupil premium and we are looking at

:34:50. > :34:56.what we can do to improve attainment for those people. The Secretary of

:34:57. > :35:01.State for giving way. Maybe to help build consensus we could hear one

:35:02. > :35:05.piece of evidence that suggests grammar schools would improve

:35:06. > :35:09.educational outcomes and social ability. One piece of evidence. We

:35:10. > :35:16.know the education gap between free school meals children is closed

:35:17. > :35:20.throughout the course of that. We know that disadvantaged children who

:35:21. > :35:23.go to grammars have a higher proportion chance of getting at

:35:24. > :35:27.university. We know they have got a higher chance of getting into

:35:28. > :35:29.Russell group universities, that is because their attainment is

:35:30. > :35:34.improved. And, Mr Speaker, education is at the heart of how we drive

:35:35. > :35:38.social mobility in our country. It is why as a government we have had

:35:39. > :35:44.such a radical reform of the last six years. The academies and free

:35:45. > :35:47.schools programme which I know the shadow secretary of state was not

:35:48. > :35:51.willing to support, have given schools the freedom to run their

:35:52. > :35:56.schools in the best interest of their children and local committees.

:35:57. > :36:01.And the introduction of the EBAC has given more children access to a core

:36:02. > :36:03.committee making sure they keep their options open as they make

:36:04. > :36:07.decisions about the future. And thanks to the hard work of teachers

:36:08. > :36:13.all over the country we now have 1.4 million more people being taught in

:36:14. > :36:16.schools that are good or outstanding compared to 2010. That means 1.4

:36:17. > :36:20.million more children getting access to the education that will allow

:36:21. > :36:23.them to make the most of their talents. And of course this does

:36:24. > :36:27.start with early years. And children going into school arriving at school

:36:28. > :36:31.ready to be able to learn if they're going to be up to take full

:36:32. > :36:35.advantage of the education on offer is why we are introducing 30 hours

:36:36. > :36:38.of free childcare for the working parents of three and four-year-olds.

:36:39. > :36:44.That is why we are looking at how we can improve the quality of the early

:36:45. > :36:47.years workforce even further. And it also means teachers are absolutely

:36:48. > :36:54.crucial to improving attainment outcomes for our young people.

:36:55. > :37:04.Verhofstadt what's Doggrell friend think about the independent study

:37:05. > :37:08.which concluded that, in the second most deprived borough in the

:37:09. > :37:11.country, a grammar school would provide much-needed incentive and

:37:12. > :37:14.improve standards of education in that area and throughout the

:37:15. > :37:19.country? I've Sina report, and I think what

:37:20. > :37:23.it shows is that when people look at the evidence, and are prepared to

:37:24. > :37:27.step away from political ideology, the reality is that grammars can

:37:28. > :37:31.have intentionally transformational impact in some of the most deprived

:37:32. > :37:36.communities, where we want to see the biggest changes. I'll make some

:37:37. > :37:42.progress, I've given away to a lot of members already. I was speaking

:37:43. > :37:47.about how we are improving and want to see more at teacher training.

:37:48. > :37:52.That is also why we started the Teaching And Innovation Fund. So

:37:53. > :37:59.more schools can build the capacity to have excellent teachers and

:38:00. > :38:03.leaders. And more broadly than academic roots, our education

:38:04. > :38:07.standards and quality of technical education in this country mirrors

:38:08. > :38:12.the excellence that we have been embedding an academic route. We

:38:13. > :38:18.focused on academic roots, it is now important for us states Emily focus

:38:19. > :38:22.on improving technical education for young people. And we are going to

:38:23. > :38:27.make sure that technical education is put on the same footing as

:38:28. > :38:31.academic education that young people already take. And through this Bill

:38:32. > :38:39.dies slimming down the system qualifications, butting employers in

:38:40. > :38:43.the dining set of how these are designed. So there is a smaller

:38:44. > :38:48.number, but more easy to understand roots that read directly to career

:38:49. > :38:53.pathways for young people. We also put a real focus on apprenticeships,

:38:54. > :38:59.so that young people get direct work experience as they learn. We are

:39:00. > :39:02.planning to create 3 million new apprenticeships by 2020, with

:39:03. > :39:06.British business, for the first time, butting investment into making

:39:07. > :39:13.sure that those apprenticeships are high quality through the

:39:14. > :39:15.apprenticeship levy. We also had the third reading of the higher

:39:16. > :39:18.education and research bill in this House, warrior putting in place a

:39:19. > :39:23.new framework to drive up teaching quality, making universities more

:39:24. > :39:28.transparent than ever in terms of their outcomes, and making sure we

:39:29. > :39:32.remote equality of opportunity browse our universities. We have to

:39:33. > :39:36.recognise though, that one of the biggest challenges we face in the

:39:37. > :39:40.education system right now is the growing need for more good school

:39:41. > :39:45.places. Because too many children, in spite of the progress we have

:39:46. > :39:51.made, don't have a place at a good school. We have 1.2 million children

:39:52. > :39:57.that are in schools that Ofsted says aren't good enough. That is why we

:39:58. > :40:02.published the Schools That Were Everyone Consultation, to pose

:40:03. > :40:06.questions about how we can use the education expertise that already

:40:07. > :40:11.exist in this country, independent schools, faith schools, universities

:40:12. > :40:18.and selective schools too, because we cannot afford to leave a single

:40:19. > :40:24.Stone unturned. I am grateful to the secretary of

:40:25. > :40:29.state, I would put it to her that that is more likely to happen if the

:40:30. > :40:32.Government sticks to its mandate in terms of education. Then she now

:40:33. > :40:36.read out the precise section in the Conservative Party manifesto from

:40:37. > :40:40.the last election that gives her at the mandate to lift the bar on the

:40:41. > :40:47.Grayson of new grammar schools? We talked about excellent school

:40:48. > :40:51.places, and the best schools in our country, including grammar schools.

:40:52. > :40:58.I say that it is not viable for the party opposite to say that we've got

:40:59. > :41:01.grammars, we don't like them, to be apparently in equivocal about

:41:02. > :41:05.whether or not it is still Labour Party policy to shut the grammars

:41:06. > :41:15.that we do have. I'm willing to give way to the honourable lady she wants

:41:16. > :41:20.to confirm that? So we have a gaping hole in the opposition party's

:41:21. > :41:25.policy in relation to grammars. What I don't think is tenable as that we

:41:26. > :41:28.have a country where we have grammars and selection, but an

:41:29. > :41:33.opposition that says they don't like that, but want to take those steps

:41:34. > :41:36.whatsoever to see how we can deliver more strongly on social mobility

:41:37. > :41:42.through the schools which are already in place. I give way.

:41:43. > :41:47.I'm grateful. She must surely be aware that we have had 18 years of

:41:48. > :41:54.Labour policies in Wales, and as a result we have lower education

:41:55. > :41:57.standards, according to three separate bodies. Does she think we

:41:58. > :42:04.should take any notice whatsoever of what they have to say on education?

:42:05. > :42:09.No, I don't. And I think the legacy that was left after 13 years of

:42:10. > :42:17.labour for our youngest people was a disastrous one. Not just in terms of

:42:18. > :42:22.grade inflation, which gave millions of young people a sense of achieving

:42:23. > :42:29.grades which were not, in fact, at a level they needed to be. But I say

:42:30. > :42:34.as well that under the last government, youth unemployment

:42:35. > :42:39.nearly went up by 15 present. And of opportunity is about anything, for

:42:40. > :42:44.any people in our country, it surely starts with the dignity of being

:42:45. > :42:48.able to have a job and a career. I was at Handsworth Grammar School

:42:49. > :42:54.last week. This is a school where around 25 present of pupils are

:42:55. > :42:58.eligible for the deprivation premium. These young people talk to

:42:59. > :43:02.me about how much they value the education they are getting. When

:43:03. > :43:06.students, who is planning to go to Oxford, and I can hear the

:43:07. > :43:11.opposition bench, and I think they'd is young man, I've not sure

:43:12. > :43:15.precisely he would say do the chattering from the opposition

:43:16. > :43:19.bench, Mr Speaker, I think he would be dismayed to see the school which

:43:20. > :43:25.is giving him a transformational opportunity in his life being talked

:43:26. > :43:29.down. But his family, just two generations before him, had arrived,

:43:30. > :43:34.his grandparents with nothing more than the clothes on their back, and

:43:35. > :43:39.within two generations, he is hoping to be able to go to Oxford. He

:43:40. > :43:44.talked to me about what the chance to go to a grammar school in

:43:45. > :43:49.Handsworth has made for him, his family and his prospects for the

:43:50. > :43:55.future. And it's levelling up. This is what we want to do. I hope we

:43:56. > :44:01.should all be able to agree that the agenda on social mobility is about

:44:02. > :44:04.having more young people with opportunity, not fewer. It's about

:44:05. > :44:11.having more young people aiming higher, not fewer. So in setting out

:44:12. > :44:14.our consultation, how we can make grammars more open to disadvantaged

:44:15. > :44:19.children, that is exactly what we should be doing.

:44:20. > :44:23.She is speaking very powerfully about the opportunities that grammar

:44:24. > :44:26.schools give to children from very ordinary backgrounds. Tissue grew

:44:27. > :44:33.with me that it is a real tragedy we haven't invested more in grammar

:44:34. > :44:38.schools. Those are my constituency around massive pressure from parents

:44:39. > :44:42.living around my constituency, restricting places for their

:44:43. > :44:47.children that live in rugby players. He is right, and I think it is

:44:48. > :44:50.untenable to say to parents who want more choice and two children who

:44:51. > :44:55.would otherwise have had a place in those schools that they can't have

:44:56. > :44:59.one, they are simply wrong. We certainly at least be allowing local

:45:00. > :45:04.communities to decide. Simply an approach are saying, you can't have

:45:05. > :45:09.them, we know better, your parents, your child, you have the grades ago,

:45:10. > :45:14.but you're not allowed to go, I don't think that is a terrible

:45:15. > :45:17.approach. I will make more progress, because I think there are more

:45:18. > :45:22.members who want to come into this important debate. We are asking in

:45:23. > :45:26.this consultation how we can make more grammars open to disadvantaged

:45:27. > :45:30.children. How we can make sure that excellence which exists within a

:45:31. > :45:33.grammar schools can play a stronger role in a school improvement

:45:34. > :45:38.throughout the system. That is also part of what we should be doing. And

:45:39. > :45:41.asking as we have seen elsewhere, how grammars can play a role in

:45:42. > :45:46.lifting the schools around them and doing a stronger job. Many are

:45:47. > :45:52.working extremely hard, we want to see that become the norm. Finally,

:45:53. > :45:57.selective and grammar schools are often hugely oversubscribed. So

:45:58. > :46:01.consulting on how we respond to the demand that's there from parents and

:46:02. > :46:06.pupils is exactly what we should be doing. We can't just simply say that

:46:07. > :46:09.those parents and students are wrong. In reality, it is now time

:46:10. > :46:14.that we should be looking at how we can use grammar schools to open up

:46:15. > :46:19.for opportunity to more people. Grammars close the attainment gap

:46:20. > :46:23.between pupils from deprived backgrounds and are more advantaged

:46:24. > :46:31.peers. For the top performing 25 present of primary schools, the gap

:46:32. > :46:35.in results for pupils on a free meals is significantly smaller than

:46:36. > :46:43.in non-selective schools. Children an selective schools are more likely

:46:44. > :46:49.to attaining GCSEs. Also twice as likely to secure a place and attend

:46:50. > :46:56.one of the top Russell group your rest is than their wealthier peers.

:46:57. > :46:58.You don't fix the challenges of social mobility and opportunity

:46:59. > :47:04.simply by just complaining about it. You have to take radical action.

:47:05. > :47:09.That is why a unique to give local communities choice, which is exactly

:47:10. > :47:12.what our consultation is proposing and asking about, and we are

:47:13. > :47:18.improving our school system standards. Those communities that

:47:19. > :47:21.want to keep the status quo of their existing good and outstanding

:47:22. > :47:26.schools will be able to do that. There's much more to do alongside

:47:27. > :47:30.this consultation to ensure that every child has the education they

:47:31. > :47:34.need and deserve. We had to recognise that some challenges we

:47:35. > :47:40.face inside schools also require solutions outside schools too. That

:47:41. > :47:43.is why I have announced the first six opportunity areas dashed as

:47:44. > :47:48.those parts of the country where social mobility is really stalling,

:47:49. > :47:51.but young people have huge potential we want to unlock, and we need to

:47:52. > :47:58.work to make sure that happens. I give way.

:47:59. > :48:02.As comprehensively educated lad from Wellingborough, it is music to my

:48:03. > :48:06.ears to hear this current is committed not just the academic, but

:48:07. > :48:10.also the technical side of things. With my right honourable friend

:48:11. > :48:13.agree with me that it's so important in our education policy to recognise

:48:14. > :48:19.that different things work in different areas.

:48:20. > :48:24.That is quite right. The first six opportunity areas that we picked our

:48:25. > :48:27.very different places. Some are present coastal communities, some

:48:28. > :48:39.more grasslike amenities, some more arrogant. That is because they face

:48:40. > :48:44.different challenges in how we raise challenges. We need to work inside

:48:45. > :48:48.schools, working with head teachers at leading those schools, but also

:48:49. > :48:53.outside schools will stop will have better careers advice, men touring,

:48:54. > :48:57.working with the CBI and Federation of Small Businesses so that we can

:48:58. > :49:04.work on work experiences, apprenticeships, of course. I will

:49:05. > :49:09.give way. I'm delighted the secretary of state

:49:10. > :49:12.is giving away on that point. London challenge, and at the last Labour

:49:13. > :49:18.Government, achieved something very similar by doing something similar

:49:19. > :49:21.to what she suggested. A huge transformation in terms of funding

:49:22. > :49:26.for teaching, school buildings, freedom for schools and teachers -

:49:27. > :49:29.is she sure she has nothing to learn from the last Labour Government?

:49:30. > :49:34.I certainly don't think, in relation to the outcomes that were achieved

:49:35. > :49:42.for young people who left the education system. All too often

:49:43. > :49:45.haven't taken exams that suffered from grade inflation, and also,

:49:46. > :49:51.critically, when you look at the reporter done by Alison will

:49:52. > :49:55.surname, by taking altercations that the employers simply didn't value.

:49:56. > :49:59.We were told this was because it was an easier route for the institution

:50:00. > :50:06.they were in. We have lots to learn from, but it is ostensibly what is

:50:07. > :50:11.not to do rather than what to do. As I can finally make some progress, Mr

:50:12. > :50:14.Speaker, and include. Opportunity areas on just about the need to

:50:15. > :50:19.address the need for school places in all parts of the country. We want

:50:20. > :50:24.them to act in the vanguard of helping us ensure that we can learn

:50:25. > :50:29.how to best drive social mud at a in a different places so it can spread

:50:30. > :50:33.what throughout England. -- social mobility in different places. We

:50:34. > :50:37.have seen further and higher education, schools and

:50:38. > :50:39.apprenticeships put back into one department within the Department for

:50:40. > :50:43.Education. I think this means we have never had a better chance to

:50:44. > :50:50.make sure that education and opportunity as a whole work to drive

:50:51. > :50:55.social throughout our country. In conclusion, improving social

:50:56. > :50:58.mobility as our country's greatest generational challenge. As

:50:59. > :51:04.complexity means that change won't happen overnight. As I say, no

:51:05. > :51:08.country has cracked how to drive great social mobility. But making

:51:09. > :51:13.the best possible success of Brexit, as is Government and party is

:51:14. > :51:18.committed to do, is why social model to matters, and is why education is

:51:19. > :51:22.at the heart of that agenda. Because in the end, it will be people who

:51:23. > :51:26.left this great country of ours. That is why we need to make ours a

:51:27. > :51:30.country that works for everyone. The Prime Minister has said that her

:51:31. > :51:35.intention and the intention of this Government. Now it's time for this

:51:36. > :51:39.House to do the same, so we can get on with making sure the education

:51:40. > :51:43.system in this country becomes the driver of social mobility that it

:51:44. > :51:57.really can be. Young people only get one shot at their education, so we

:51:58. > :52:06.have two urgently get this right. And it requires all of us to be

:52:07. > :52:18.An amendment has been proposed. The question is, that the original words

:52:19. > :52:21.stand part of the question. As I rise I would like to declare an

:52:22. > :52:28.interest as a physics teacher, who spent two years working in the

:52:29. > :52:38.comprehensive sector. Mr Speaker, my father sat and failed the 11 plus

:52:39. > :52:43.exam and ended up in the local secondary at Saint rocks in Glasgow.

:52:44. > :52:50.School was simply a holding area for them until they were old enough to

:52:51. > :52:56.enter the workforce. My dad set out the path that was laid for most of

:52:57. > :53:01.his classmates, who worked in the shipyards but instead he went to

:53:02. > :53:05.work for the parks department. He has some good memories but work was

:53:06. > :53:12.simply something you did to provide for your family. There was no

:53:13. > :53:18.element of choice within that. You were grateful that you had the job

:53:19. > :53:21.and he was grateful. By that time my siblings and I went to school,

:53:22. > :53:25.grammars had been completely abolished in Scotland. We also

:53:26. > :53:30.attended the local secondary but now as a conference if and there were no

:53:31. > :53:36.preconceived ideas or restrictions placed upon us. My father watched

:53:37. > :53:41.with pride as one by one his five children went on to university.

:53:42. > :53:47.Possible of course because we paid no fees and were awarded maintenance

:53:48. > :53:51.grants. By coincidence, early in my career I've taught in my father 's

:53:52. > :53:57.old school, however it was transformed by that point. By now it

:53:58. > :54:02.was a comprehensive, a much happier place, the walls were the

:54:03. > :54:12.suppression of past achievements and some were academic, some vocational,

:54:13. > :54:14.but the real difference was the expectation of achievement. Every

:54:15. > :54:18.young person entering that school was seen as a human being with

:54:19. > :54:22.potential and every young person felt the weight of that expectation,

:54:23. > :54:27.because the real problem with selective education is not that you

:54:28. > :54:33.end up with good schools, it is not that one set of features works

:54:34. > :54:37.harder than another, it is that whole swathes of our young people

:54:38. > :54:45.will be labelled, Rogne of course, as having failed. And with that,

:54:46. > :54:48.social mobility falls. Whilst it may be argued that those who have the

:54:49. > :54:55.intellectual maturity or whose parents can pay for the tuition to

:54:56. > :55:01.pass the 11 plus, themselves may offer a more sheltered experience,

:55:02. > :55:07.as a government benches opposite should be concerned with every

:55:08. > :55:12.single child. And with grammar schools on the horizon this is

:55:13. > :55:20.simply not the case. If I could give an example,... I will. Would she

:55:21. > :55:23.agree with me that the major flaw in the secretary of the's speech was

:55:24. > :55:29.that she could not bring herself to acknowledge that if she pursues this

:55:30. > :55:33.policy it will lead to the creation of more secondary modern schools.

:55:34. > :55:39.That is the truth they will not face. I actually think there was

:55:40. > :55:41.another floor, listening to the centre of state speaking in such

:55:42. > :55:49.glowing terms about grammar schools, I wondered why we don't just make

:55:50. > :55:54.every school grammar. That would solve every problem. Many secondary

:55:55. > :56:01.schools choose to set pupils within the schools according to academic

:56:02. > :56:04.ability. However, the educational evidence of the benefits of even

:56:05. > :56:09.setting is scanned. Certainly when pupils are working on the same

:56:10. > :56:13.curriculum content of the evidence is clear and mixed ability classes

:56:14. > :56:20.are far more successful in raising attainment. The most able pupils

:56:21. > :56:27.succeed in whatever class they are in. The least able pupils do a bit

:56:28. > :56:31.better in mixed ability but the massive advantages for your swathes

:56:32. > :56:41.of average attendance who within a mixed ability class have no ceiling

:56:42. > :56:45.placed on their admissions. In fact when this government uses one of its

:56:46. > :56:50.buzzwords, aspiration, it is indeed this large group of middle pupils

:56:51. > :57:01.who embody and embrace the site there. And conversely when

:57:02. > :57:04.admissions based on ability and post on pupils in sends a strong signal

:57:05. > :57:10.to that particular group. In other words it is a self-fulfilling

:57:11. > :57:14.prophecy. Rolling this out too much larger scales as has been considered

:57:15. > :57:18.in the return to grammar schools, we have young people who have had

:57:19. > :57:21.decisions made on their future attainment before they even have a

:57:22. > :57:27.chance to attain. The damage that this does cannot be underestimated.

:57:28. > :57:31.To be told age 11 that you are not good enough is an incredibly

:57:32. > :57:35.difficult thing to overcome. Despite the best efforts of teachers, that

:57:36. > :57:41.labelling is a blow to the confidence and self esteem that can

:57:42. > :57:47.remain throughout the person's life. Given what the honourable lady just

:57:48. > :57:51.said, would the Old Lady join me in welcoming the green paper proposal

:57:52. > :57:57.to allow for transfers into and out of selective schools at age 14 and

:57:58. > :58:00.16 as well as 11? , co-I would welcome very little of the green

:58:01. > :58:12.paper, I do not agree with selective schooling. Does she think that

:58:13. > :58:17.eligibility to stay on either a college six form based on the level

:58:18. > :58:22.of qualifications at GCSE level should also be abolished? Cobb

:58:23. > :58:31.actually I'm not sure I understood the question. Students should be to

:58:32. > :58:35.stay on as long as the score fits their requirements and as long as

:58:36. > :58:38.the school is able to offer them something. Maybe it is not what the

:58:39. > :58:44.honourable gentleman asked but I will move on. I have had some

:58:45. > :58:52.correspondence not from my own constituents but from people living

:58:53. > :58:58.in England to have shared their about grammar schools. I will share

:58:59. > :59:01.this concern from a letter from a gentleman in England. As an 11 plus

:59:02. > :59:05.failure the sense of failure are still with me so much so that I find

:59:06. > :59:10.it hard in this letter to admit I went to a secondary modern. Nearly

:59:11. > :59:13.all my fellow pupils came from poorer or deprived backgrounds. I

:59:14. > :59:18.cannot think of one who came from a well-off background. As children we

:59:19. > :59:22.accepted our lot and it was made clear to us that our choices of work

:59:23. > :59:27.were limited after school. There were small cohort of teachers who

:59:28. > :59:34.did the best for us despite, as I realise now, limited resources.

:59:35. > :59:40.However turnover of teachers was high and did not bode well for

:59:41. > :59:43.continuity of education. There was no question of taking exams for

:59:44. > :59:49.qualifications of any kind. University was unthinkable. Higher

:59:50. > :59:58.education was closed off to us, we were in the rubbish bin. It's

:59:59. > :00:03.well-known that young people's thinking skills development

:00:04. > :00:06.different rates. Some aged 11 will have advanced cognitive abilities,

:00:07. > :00:10.for others it would take several more years for thinking skills to

:00:11. > :00:16.mature. A number of years ago I taught a young boy who had come age

:00:17. > :00:21.11 from the primary with the extremely poor literacy and numeracy

:00:22. > :00:32.skills that as time of one he showed some talent for science. Despite all

:00:33. > :00:35.original expectations placed on him and not by teachers but probably by

:00:36. > :00:41.that young boy himself he managed to achieve in his national exams

:00:42. > :00:47.scraping by on went on to university. Thief went on to get a

:00:48. > :00:51.degree in chemistry and then a Ph.D. And now travels the world as a

:00:52. > :00:58.chemical engineer. That is social mobility. That is achieved in a

:00:59. > :01:04.comprehensive school. That boy would not have come close to passing an 11

:01:05. > :01:08.plus exam. I completely oppose selective education. Which

:01:09. > :01:21.thankfully will not be introduced in Scotland. I will give way. I am

:01:22. > :01:24.incredibly grateful. Would she agree that there is a tendency with this

:01:25. > :01:29.debate to send a message that anybody who has gone to a secondary

:01:30. > :01:32.modern is indeed failing. I say that because I did. Exactly the same

:01:33. > :01:38.machine identified with her father. So I know how tough it can be. But

:01:39. > :01:41.the reality is that can be achieved, we scanned succeed. It is not a

:01:42. > :01:45.question or success and failure, it is a question of making the

:01:46. > :01:51.alternative schools as good as those that will go to grammar schools. I'm

:01:52. > :01:57.extremely glad the honourable gentleman did and has made his way,

:01:58. > :02:00.however not every young person has the strength of character that he is

:02:01. > :02:10.displaying and for many young people that actually causes major issues. I

:02:11. > :02:13.do not make any point about whether I have succeeded or otherwise, many

:02:14. > :02:19.could argue why have and by being here. The point is more that we are

:02:20. > :02:24.in danger of going back to the farce of either it is success or failure.

:02:25. > :02:28.Whereas in fact it is possible to have a mix of schools and still see

:02:29. > :02:31.those who don't go to grammar schools being successful schools and

:02:32. > :02:40.thriving and we shouldn't talk that down in this house. We have swathes

:02:41. > :02:46.of teachers who are battling the labelling that has been put on these

:02:47. > :02:49.young people. They are working absolutely flat out to overcome the

:02:50. > :02:53.prejudices that have been put on these young people. It is not right

:02:54. > :02:56.as a government that we should make life more difficult for them by

:02:57. > :03:05.continuing this and in fact extending this. I have got another

:03:06. > :03:09.letter here, from a young person, from high Wycombe. He says, I

:03:10. > :03:14.currently attend a grammar school in high Wycombe. At the age of ten I

:03:15. > :03:18.was put under a ridiculous amount of stress and felt at a disadvantage

:03:19. > :03:22.going into the 11 plus. As my family could only afford a fortnight of

:03:23. > :03:34.private tuition. This system makes 70% of case feel second-best. The

:03:35. > :03:39.social mobility agenda in Scotland is quite different. We are looking

:03:40. > :03:43.at positive steps we can take to increase social mobility including

:03:44. > :03:51.early learning. 30 hours of early learning for all children regardless

:03:52. > :03:54.of the work status of their parents. We have the attainment fund which I

:03:55. > :03:57.believe my honourable friend will mention more in his speech, which

:03:58. > :04:06.has been used to target the attainment gap currently in some

:04:07. > :04:10.areas. . Bolivars for the excellent pupils and teachers in the comments

:04:11. > :04:14.is in my area so achieved great things alongside grammars which also

:04:15. > :04:20.recruit for my local area. She should not run this people down,

:04:21. > :04:25.they are doing a great job. As someone who has attended and has

:04:26. > :04:28.taught in a comprehensive school, I think these teachers and young

:04:29. > :04:34.people are doing some of the best jobs in the country. Far better than

:04:35. > :04:40.some who possibly are in other situations. Other things that the

:04:41. > :04:44.Scottish game and have or haven't done, they have not cut the

:04:45. > :04:46.educational maintenance allowance that allows young people from

:04:47. > :04:55.disadvantaged backgrounds to remain at school to achieve to their full

:04:56. > :05:00.potential. Maintenance grants still available for our young people going

:05:01. > :05:05.to university. I would like to give an example of something that has

:05:06. > :05:09.really proved successful in increasing social mobility. Within

:05:10. > :05:14.Glasgow there are areas of serious deprivation, and schools in these

:05:15. > :05:19.areas may only have one or two pupils that are planning to set the

:05:20. > :05:25.highest level of qualifications in Scotland, the advanced higher. It is

:05:26. > :05:30.unreasonable and an economic to run courses for these 12 pupils said

:05:31. > :05:35.they are now coming to Caledonia University as a group of 20 or 30

:05:36. > :05:39.students together. This has been funded by Scottish Government, by

:05:40. > :05:44.Caledonian University and by Glasgow City Council. They are coming

:05:45. > :05:48.together as a group, they are experiencing life on a university

:05:49. > :05:55.campus and they are achieving their advanced higher altercations. That

:05:56. > :05:59.is social mobility. I will finish up by saying that we support the

:06:00. > :06:05.original motion by the opposition benches, social mobility is

:06:06. > :06:08.definitely, definitely has to be increased but grammar schools are

:06:09. > :06:12.not the way to do it. Posterity is not the way to do it. And we have to

:06:13. > :06:20.start looking at positive steps we can be taking. On account of the

:06:21. > :06:24.level of demand there is a requirement for the imposition of a

:06:25. > :06:32.time limit. We will begin with a minutes limit on backbench speeches.

:06:33. > :06:37.Nicky Morgan. Thank you very much indeed. I think all members of this

:06:38. > :06:41.house can agree that a first-class education is the greatest investment

:06:42. > :06:47.we can make as a country in our next generation.

:06:48. > :06:53.I have no doubt about the Secretary of State's commitment to increasing

:06:54. > :06:59.social mobility having heard speak for the last few years. I think we

:07:00. > :07:03.can also agree that, post-Brexit, it is more important than ever that all

:07:04. > :07:06.at younger people in this country leave education well skilled and

:07:07. > :07:11.well educated, particularly if we are going to have a new education

:07:12. > :07:18.policy in the next few years. For me, Mr Speaker, we want to have an

:07:19. > :07:21.excellent education everywhere. As I said at a party conference a couple

:07:22. > :07:27.of years ago, that everywhere is absolutely fundamental. What I think

:07:28. > :07:31.is missing from the Green paper is that sense of a strong and

:07:32. > :07:34.consistent whole system. I think that might be because the green

:07:35. > :07:39.paper only talks about schools rather than some of the other issues

:07:40. > :07:45.that we know are facing our education system. Issues of equality

:07:46. > :07:50.of teaching, the need for more great teachers, the need for announcements

:07:51. > :07:59.on terror funding. I was pleased to hear the secretary of State talking

:08:00. > :08:04.about her commitment to the bank. In the White Paper published earlier

:08:05. > :08:07.this year, we identified achieving excellence areas which need

:08:08. > :08:12.attention. The Social Mobility Commission last week picked that up,

:08:13. > :08:20.and we have heard already about the report on Knowsley. I think we

:08:21. > :08:24.should pay tribute to this, paid for by the Knowsley commission, because

:08:25. > :08:28.they have recognised the underperformance in their own area,

:08:29. > :08:32.and they need to make sure that children in that area, and families

:08:33. > :08:39.in that area, have a real choice about schools. For me, there are two

:08:40. > :08:46.tests for new schools holidays. Firstly, are we tackling those areas

:08:47. > :08:51.of underperformance specifically? Secondly, and I think this is at the

:08:52. > :08:56.heart of debate about selection, is every child being offered an

:08:57. > :09:00.academic knowledge-rich curriculum? I know that knowledge-rich is

:09:01. > :09:06.something of fundamental importance to the Minister for schools. I think

:09:07. > :09:11.we have technology that the Government's own green paper sets

:09:12. > :09:16.out the dangers around the case for change in selective schools. It says

:09:17. > :09:20.on page 21, paragraph four, while those children who attend selective

:09:21. > :09:25.schools enjoy a fire greater chance of academic success, there is

:09:26. > :09:29.evidence that children who attend nonselective schools in certain

:09:30. > :09:33.areas may not fare as well academically compared to local

:09:34. > :09:37.selective schools and comprehensives in nonselective areas. The education

:09:38. > :09:46.policy Institute also published a report in September same analysis of

:09:47. > :09:56.educational reformers shows that a high incidence of academically

:09:57. > :09:59.selective schools is not an end... I would like to hear more from the

:10:00. > :10:05.Minister about the evidence that the Government is relying on and making

:10:06. > :10:10.puzzles in the green paper. We talk about being a one nation Government.

:10:11. > :10:16.So the focus has to be on tackling those areas where school

:10:17. > :10:20.underperformance is still entrenched. Those areas of the

:10:21. > :10:25.country where families do not have the choice, whether are no good or

:10:26. > :10:28.outstanding schools, where, for them, the opportunity to travel

:10:29. > :10:37.outside the borough boundaries does not exist. So if we are at serious

:10:38. > :10:50.that more selective schools raise standards across the, that they are

:10:51. > :10:54.at look at... My question to the ministers is, what of those areas

:10:55. > :10:59.most in need of standards being raised opt out of having new

:11:00. > :11:04.schools? Because of the inherent problems in what is being promoted

:11:05. > :11:09.as, -- being proposed, the Green paper has to talk about measures. My

:11:10. > :11:15.concern is that everything proposed is a distraction for the party of

:11:16. > :11:18.the Government for those issues facing our education system. I

:11:19. > :11:22.mention fair funding, which are no colleagues on all sides of the House

:11:23. > :11:28.take incredibly seriously as an issue that has to be sorted. The

:11:29. > :11:32.second test is whether we think all children can benefit from excellent

:11:33. > :11:38.academic knowledge-rich curriculum. I think that is what our future

:11:39. > :11:41.workforce needs. True social mobility needs every child to be

:11:42. > :11:46.given the same opportunity. I give way.

:11:47. > :11:51.I've listened very carefully to what she said. Was she agree with me that

:11:52. > :11:53.this policy is a distraction, and we wanted to make the biggest

:11:54. > :11:59.difference to education in our country, we would do that by

:12:00. > :12:05.focusing on 0- for, and making sure more children alight at class with

:12:06. > :12:08.the language and social skills they needed?

:12:09. > :12:12.The honourable gentleman is right is that education is critically

:12:13. > :12:15.important. One of the issues surrounding that is that the

:12:16. > :12:19.attainment gap is already wide by the time children get to the age of

:12:20. > :12:23.11, often before they reach primary school. He has also been a

:12:24. > :12:27.Government minister, and knows that Government departments can do more

:12:28. > :12:31.than one thing. We can focus on early years at the same time as

:12:32. > :12:35.making sure every child has an excellent academic education. True

:12:36. > :12:40.social mobility requires every child to be given the same opportunity.

:12:41. > :12:45.Not for other people to make judgments about what children are

:12:46. > :12:48.entitled to. I remember the visit I paid to a primary school in

:12:49. > :12:52.Lancashire, whether head teacher informed me that the children at her

:12:53. > :12:59.previous school, a city centre school, where only going to ever be,

:13:00. > :13:02.requires improvement. The children being written off before the age of

:13:03. > :13:07.11 by Summit tells me there is a problem, and that problem needs to

:13:08. > :13:12.be tackled first. I have been up honest, I have struggled with the

:13:13. > :13:16.motion an amendment today in terms of how to vote. Because what is

:13:17. > :13:20.being proposed in the green paper was not in our manifesto. I hope the

:13:21. > :13:23.ministers will listen to the sponsors they receive in the

:13:24. > :13:28.consultation. They will listen to what members on all sides say today.

:13:29. > :13:32.Can I also suggest that in taking forward these proposals, if the

:13:33. > :13:36.Government remains determined to do so, they must set out proposals that

:13:37. > :13:41.will lift standards in underperforming areas, and it will

:13:42. > :13:51.start with those areas. Can I say, it's a pleasure to follow

:13:52. > :13:55.the right honourable member for Loughborough. She and I disagreed

:13:56. > :13:59.many times in the past, but I agree with much of what you has just

:14:00. > :14:03.outlines, and I hope her successor is listening carefully to what she

:14:04. > :14:07.had to say. We don't have long, as I'll track and canter through some

:14:08. > :14:12.of the issues as best I can. Before we get into the meat of this, it is

:14:13. > :14:17.important to clarify for all of us what we mean about social mobility.

:14:18. > :14:23.Too often in this debate, we talk about plucking the lucky few from

:14:24. > :14:28.disadvantage to the very top, and that's not actually what the policy

:14:29. > :14:32.of social mobility needs to address. It's about economic and social

:14:33. > :14:35.progress and for the lucky, not the few. It is about the rungs on the

:14:36. > :14:43.ladder getting shorter distance between them and pulling up that

:14:44. > :14:48.bottom wrong altogether. The challenges we face a deep-seated and

:14:49. > :14:52.manyfold, but they are particularly important in the world of work of

:14:53. > :14:56.today and tomorrow. Automation and that authorisation, and a hollowing

:14:57. > :15:03.out of the low skilled and many skilled jobs mean that by 2022,

:15:04. > :15:11.there will be 9 million low-skilled people going after 4 million jobs

:15:12. > :15:16.with a 3 million shortfall to fill the 15 million of high-skilled jobs

:15:17. > :15:21.that will be available in that economy of the future. These are the

:15:22. > :15:24.big challenges our country faces. The educational landscape needs to

:15:25. > :15:28.address the challenges, but hark back to the challenges of the 50s

:15:29. > :15:37.and 60s and the different economy that was face then. We need a bold

:15:38. > :15:40.strategy for tackling social mobility in this country, and how we

:15:41. > :15:45.narrowed the gap in educational disadvantage. And that, as many

:15:46. > :15:51.successive governments have looked to do is about dealing with the long

:15:52. > :15:55.tail of underachievement, not, as is Government seems hell-bent on doing,

:15:56. > :16:02.creating an even more elite education for the already elite. I

:16:03. > :16:07.stated to this equity stake, who is shaking her head, the Government

:16:08. > :16:09.could start by adopting in full the recommendations of our own Social

:16:10. > :16:14.Mobility Commission report that was published just last week, and she

:16:15. > :16:21.would get widespread, cross-party support in so doing. There are three

:16:22. > :16:25.key areas that report set out which I fully agree with, and have been

:16:26. > :16:31.raised by others already. The first is about quality in the early years.

:16:32. > :16:34.In the early years, I'm phrase, we are yet again seeing the Government

:16:35. > :16:39.not understanding the policy question that they are being asked.

:16:40. > :16:44.They are putting more money into childcare, something which I very

:16:45. > :16:47.much welcome. But there are two reasons we invest in early years

:16:48. > :16:54.just as one is about enabling parents to get back into the labour

:16:55. > :16:58.market. The second is to narrow the educational attainment gap which

:16:59. > :17:04.exists by the age of five for many young people already. To narrow that

:17:05. > :17:09.gap, we had to have an absolute focus on quality. And that quality

:17:10. > :17:13.being available for the most disadvantaged children, not just for

:17:14. > :17:18.a few. The Government could be spending its money much more wisely

:17:19. > :17:23.in this area, and driving up quality across the board. We need a clear

:17:24. > :17:27.agenda going forwards to do theirs. I'm afraid many of these things have

:17:28. > :17:30.been going backwards under this Government. We've got to have more

:17:31. > :17:35.support for parents under the sure start programme, and parental

:17:36. > :17:39.support. The quality provision, where it is needed most in the most

:17:40. > :17:42.disadvantaged areas, and we see that with our maintained nursery schools

:17:43. > :17:48.and many other classes in primary schools, these are now all under

:17:49. > :17:52.threat with the new funding formula. We see a levelling down, not a

:17:53. > :17:58.levelling up in terms of quality in the early years. We could be using

:17:59. > :18:03.the early years premium much better, and we are not. I would say to the

:18:04. > :18:06.secretary of State, leveraged the money you're putting an iterator

:18:07. > :18:09.quality is at the heart of your strategy. We have is about

:18:10. > :18:14.childcare, and we hear is about working families and childcare and

:18:15. > :18:18.that is not what the social mobility debate is about. We need a pool of

:18:19. > :18:24.talented teachers everywhere, as we got in the London challenge. I say

:18:25. > :18:26.to the Secretary of State, the London Challenge was a fantastic

:18:27. > :18:30.achievement of the last government. We deceive need to see that draw

:18:31. > :18:35.that places like Knowsley, the ten worst areas in the country, in

:18:36. > :18:40.dealing with that. Camera schools were exacerbated the issues of

:18:41. > :18:46.quality teachers where we need them most. -- Grammar schools will

:18:47. > :18:50.exacerbate. Does she not notice the irony in

:18:51. > :18:58.mentioning Knowsley, when a council's own report says that the

:18:59. > :19:02.introduction of grammar schools would actually be transforming for

:19:03. > :19:07.those working-class boys are especially who were underachieving?

:19:08. > :19:11.I would say it was not a recommendation that the council has

:19:12. > :19:16.taken on board. What we need is to get the quality teachers in city

:19:17. > :19:20.areas. We know what works, it works in London, we need to see the London

:19:21. > :19:25.Challenge rolled out of the ten worst areas where we know the

:19:26. > :19:31.children of most disadvantaged and not getting the support they need.

:19:32. > :19:37.There is more we can do in the post-16 area as well, as the Social

:19:38. > :19:40.Mobility Commission said. Finally, on grammar schools, let's remind

:19:41. > :19:47.ourselves of the evidence. The OECD has found that selective countries

:19:48. > :19:51.do more well than those are nonselective. In England, the

:19:52. > :19:56.highest attainment gaps in selective boroughs, yet the highest performing

:19:57. > :20:02.boroughs are comprehensive. In Kent, 23 present of free school meal

:20:03. > :20:09.children are A-letter Charlie, whereas in London it is ten present.

:20:10. > :20:15.It is not can parable with the free school meal children elsewhere. So

:20:16. > :20:19.far, as David Willetts has described, grammar schools are in an

:20:20. > :20:23.arms race Private tuition for rich parents. The inequalities we have

:20:24. > :20:29.just described previously get greater and greater in the system.

:20:30. > :20:33.That's weighted chief inspector of schools, the very education the

:20:34. > :20:37.Social Mobility Commission, the Southern trust, the head teachers

:20:38. > :20:41.unions, all the heads and Surrey, Ruth Davidson and many members

:20:42. > :20:48.opposite, are all opposed to the reintroduction of grammar schools.

:20:49. > :20:54.So if she wants to have a robber, cross-party agreement on driving up

:20:55. > :20:57.social mobility, take forward her own Government's report every step

:20:58. > :21:00.of the way and agree with their recommendations on grammar schools,

:21:01. > :21:07.as you will get the consensus of this House.

:21:08. > :21:11.There is a happy consensus, well hidden within this debate -

:21:12. > :21:16.and that is all the parties in this House believes that education is of

:21:17. > :21:19.huge importance. And all of us believe that we want the best

:21:20. > :21:24.possible education for all the children in our country. We also

:21:25. > :21:27.accept that the state has the main obligation, because most of the

:21:28. > :21:32.children will need state finance and state support in order to achieve

:21:33. > :21:37.that great education. I pay tribute to ministers that there are now 1.54

:21:38. > :21:41.million children being educated in good and outstanding schools as

:21:42. > :21:45.proof that work by successive ministers, and buy more importantly,

:21:46. > :21:49.at whole army of head teachers and teachers in state schools is

:21:50. > :21:54.delivering a better education across the country. There are still more to

:21:55. > :21:57.do, and I hope others and who are so critical of our current levels of

:21:58. > :22:00.educational achievement in their own errors will be positively working

:22:01. > :22:02.with their schools and local education authorities to try and

:22:03. > :22:13.achieve the better performance. The shadow Secretary of State give

:22:14. > :22:17.boiler by revealing that since becoming Shadow Secretary of State

:22:18. > :22:21.she's made grammar schools are big thing in table of this motion, but

:22:22. > :22:24.hasn't actually visited any since taking on the job. I would have

:22:25. > :22:27.thought it would be a courtesy to the grammar schools she's attacking

:22:28. > :22:33.to go and visit one or two of them before mounting this challenge in

:22:34. > :22:37.this house. The argument runs that selection is wrong because we may

:22:38. > :22:42.not select all of the talented people at the age of choice. And

:22:43. > :22:46.that therefore it is unfair to give this advantage to those who are

:22:47. > :22:51.selected. But again there is a huge humbug on the opposition benches.

:22:52. > :22:56.When I asked the Shadow Secretary of State whether she was upset by the

:22:57. > :23:00.fact that our elite sports people have usually been selected at quite

:23:01. > :23:04.a young age for special training and special education, and that they are

:23:05. > :23:08.expected to achieve to a much higher level than the average, and they are

:23:09. > :23:12.given training in May to do extra work in order to be able to do so,

:23:13. > :23:17.and she didn't seem at all upset by that.

:23:18. > :23:22.I do not accept that that is completely useless analogy to draw.

:23:23. > :23:27.Education is about life. The skills that people need to get through

:23:28. > :23:31.life, the basic literacy, numeracy. Sport is not about the entirety of

:23:32. > :23:34.life. That is why education is different and that is why it's wrong

:23:35. > :23:39.to label any child as second-class at age 11.

:23:40. > :23:43.The right Honourable gentleman just doesn't understand. If a young

:23:44. > :23:45.person from a poor background becomes a top footballer, there is a

:23:46. > :23:51.transformation in their lives, and good luck to them. Why do they not

:23:52. > :23:54.understand is that exactly the same arguments apply to art, ballet,

:23:55. > :23:58.music? We take the children at quite a young age who we think are going

:23:59. > :24:01.to be the most talented musicians and we give them elite special

:24:02. > :24:06.training so that they can play to the highest standards in the world.

:24:07. > :24:12.I'm glad he mentioned football because actually 13% of our national

:24:13. > :24:16.football team went to a private school, which is double the number

:24:17. > :24:20.of children who go to private schools nationally. Does he think

:24:21. > :24:23.that might account for the performance of our national football

:24:24. > :24:25.team, if we're missing out on the tavern that exists in a

:24:26. > :24:32.comprehensive sector? Will he recognise that that is precisely the

:24:33. > :24:36.problem we are facing today? I don't think we will get a better

:24:37. > :24:40.team by training them less and no longer giving them any kind of elite

:24:41. > :24:44.education. I really think they're being very obtuse on the benches

:24:45. > :24:48.opposite. Let me try a different argument. The second argument

:24:49. > :24:50.against grammar school is that they claim in Buckinghamshire and

:24:51. > :24:54.Berkshire where we have some good grammar schools we must be suffering

:24:55. > :24:57.in all the other schools. They write off and write down the many

:24:58. > :25:02.excellent comprehensive schools in areas that have access to grammar

:25:03. > :25:06.school places. In a quite unrealistic and unpleasant way. I

:25:07. > :25:08.know my own area better than Buckinghamshire stopping my own

:25:09. > :25:15.constituency we don't have any grammar schools, but we have two

:25:16. > :25:21.excellent grammar schools, a girls' and boys's, just over in wedding,

:25:22. > :25:25.and they took from our brightest and most academically gifted pupils from

:25:26. > :25:27.the Wokingham area. What happens in our comprehensive area in Wokingham

:25:28. > :25:33.is that our comprehensive schools also have great academically gifted

:25:34. > :25:36.children. At the top of the school not having to compete with the ones

:25:37. > :25:40.you are grammar, they go on to compete very successfully and get

:25:41. > :25:44.good places at elite universities. The members opposite should not

:25:45. > :25:48.write those schools for pretend that some kind of failed secondary

:25:49. > :25:51.modern. I'm very glad that my honourable friend reminds us that

:25:52. > :25:54.there are some very good secondary modern schools and pupils to achieve

:25:55. > :25:57.great things. My honourable friend achieved great things before coming

:25:58. > :26:01.into this house. Others will think it's a great achievement that he is

:26:02. > :26:05.also in this house. I think it shows that you should not write off any

:26:06. > :26:08.whole category of school as I think in a more honest moments of those on

:26:09. > :26:12.the opposition benches pointed out, what really matters in the school is

:26:13. > :26:18.the talent of the teaching force and the goodwill and working spirit of

:26:19. > :26:22.the pupils. The two play off each other and you can get that in a good

:26:23. > :26:26.comprehensive and a good grammar school. But the opposition must

:26:27. > :26:29.understand we're not trying to create a series of schools for

:26:30. > :26:33.failures. We want to have great schools for everybody. But we do

:26:34. > :26:37.believe that if we select some pupils on academic ability and give

:26:38. > :26:42.them elite academic training, that can make sense for them but it

:26:43. > :26:45.doesn't write off the other school. I'm not at all opposed to giving the

:26:46. > :26:49.brightest pupils and elite education. That's not why I'm

:26:50. > :26:53.worried about grammar schools. I'm worried about grammar schools

:26:54. > :26:55.because they don't answer the central problem is our education

:26:56. > :27:01.system faces. Michael Wilshaw said that we had a mediocre education

:27:02. > :27:06.system. We are falling behind how international competitors. In a

:27:07. > :27:10.modern economy where innovation is creating jobs at 30 times the rate

:27:11. > :27:13.of the rest of the economy, we need to exploit all the talents of all

:27:14. > :27:22.our young people. That's why I'm worried about grammar school.

:27:23. > :27:25.You don't prevent providing a good education to everybody else by

:27:26. > :27:29.selecting some people who are good at football or good at academic

:27:30. > :27:33.subjects. If we want to have more Nobel Prize winners, they're very

:27:34. > :27:35.likely to be attending the great universities in our country. We want

:27:36. > :27:41.to feed those great universities with the best possible talent from

:27:42. > :27:44.our schooling system. Shouldn't that talent have been given an education

:27:45. > :27:49.which stretches them and get them further along the road to great work

:27:50. > :27:53.before they reach university? The most successful people at university

:27:54. > :27:57.have often had an extremely good education before they get to the

:27:58. > :28:00.university. Their self-starters. I really don't have the time and lots

:28:01. > :28:05.of other people wish to indulge in the debate. We need to make sure we

:28:06. > :28:08.get the maximum number of talented pupils throughout the highest

:28:09. > :28:12.possible level so that they can achieve even greater things at the

:28:13. > :28:14.elite universities. That brings me to my next problem with the

:28:15. > :28:21.opposition argument because they ignore completely the fee-paying

:28:22. > :28:25.schools. There are some fee-paying schools in our country that achieve

:28:26. > :28:29.enormous success academically. They have double privilege because they

:28:30. > :28:32.select bright pupils who also have rich family backgrounds. You put the

:28:33. > :28:38.two together and it's explosively successful. I don't begrudge people

:28:39. > :28:41.a great education if they came from a rich background. I didn't come

:28:42. > :28:44.from one myself but I'm very grateful they can get a great

:28:45. > :28:47.education. It's even better that they pay for it themselves as well

:28:48. > :28:52.as paying their taxes. I'm not jealous. But it must be a great

:28:53. > :28:55.problem if you are all kinds of elite education that we have those

:28:56. > :29:00.great schools that combine this double advantage. I think a grammar

:29:01. > :29:04.school provides people who are bright but didn't come from a rich

:29:05. > :29:07.background with an opportunity to compete better against those

:29:08. > :29:11.phenomenally successful elite schools in the public sector. The

:29:12. > :29:16.honourable lady rightly pointed out that all of our public schools are

:29:17. > :29:20.not only dominate -- not only dominate academically but in the

:29:21. > :29:23.sporting world as well, showing that the combination of resource and

:29:24. > :29:25.selection that they put together is a powerful combination. Surely we

:29:26. > :29:30.need more centres of excellence where you can get access to it

:29:31. > :29:35.without having rich parents. My final point is to say I do think

:29:36. > :29:40.it's deeply disappointing that the opposition front bench called a

:29:41. > :29:46.debate on this important subject yet cannot confirm or deny that they

:29:47. > :29:50.wish to abolish the grammar schools we've got. One little tip for the

:29:51. > :29:55.opposition, I remember how difficult it was, I always find it helpful if

:29:56. > :29:58.I've worked up the position of my party first as shadow spokesman

:29:59. > :30:03.before challenging the Government on its position. I need to make sure

:30:04. > :30:07.that my party's position on the topic I was responsible for was both

:30:08. > :30:12.sensible and unlikely to be popular. I think they failed the tests today.

:30:13. > :30:15.It sounds as if the shadow spokesman would like to abolish the grammar

:30:16. > :30:19.schools but doesn't have the courage to say she wishes to abolish the

:30:20. > :30:23.grammar schools. I would make a plea to this house, get behind the

:30:24. > :30:27.excellent grammar schools we've got. Get behind the excellent

:30:28. > :30:32.comprehensive we've got. Understand that were comprehensive and grammars

:30:33. > :30:36.coexist, the comprehensives can do very well and also achieve great

:30:37. > :30:40.things with their pupils. We don't have enough great schools. Let's not

:30:41. > :30:43.cripple the ones we've got and certainly I don't want to live in a

:30:44. > :30:52.world where you have to be rich to go to an elite academic Academy.

:30:53. > :30:55.Today's debate about how to ensure that every child, no matter what

:30:56. > :30:59.their background is, is able to make the most of their life. As the world

:31:00. > :31:04.changes and the labour market changes, that becomes more important

:31:05. > :31:09.than ever. Good education is the best possible route to opportunity.

:31:10. > :31:13.It is the liberator from circumstance. The open of mines and

:31:14. > :31:21.the means by which children can change the course of their lives. --

:31:22. > :31:25.the opening of minds. It is for the country as a whole. The

:31:26. > :31:32.well-educated country is a country better equipped to succeed in the

:31:33. > :31:38.modern world. It isn't just about 11 players. It's about tens of millions

:31:39. > :31:46.of people. A country which neglects education does it self harm. It not

:31:47. > :31:48.only cuts off opportunity for individuals and Luke 's discovered,

:31:49. > :31:54.it also disarms itself in the mission to make the country the best

:31:55. > :32:01.it can possibly be. -- and leaves talent undiscovered. There has been

:32:02. > :32:05.some progress. Last week's social mobility commission report pointed

:32:06. > :32:09.out that disadvantaged young people of 30% more likely to go to

:32:10. > :32:16.university now than many years ago. But despite this progress, we still

:32:17. > :32:21.have a long way to go before we can say that we have succeeded in our

:32:22. > :32:25.mission. Too many children still don't get the life chances they

:32:26. > :32:30.expect. Too many children are still held back by lack of ambition, by

:32:31. > :32:33.the view that their background dictates that they could never make

:32:34. > :32:41.it. And too much discussion about this issue begins with the awful

:32:42. > :32:47.defeatist phrase, "These kids". What I believe these kids can achieve is

:32:48. > :32:51.anything. I believe that children from any background can achieve as

:32:52. > :32:55.much as those from a better off background, given the chance and

:32:56. > :32:58.given the platform. And when that doesn't happen, we have lied

:32:59. > :33:05.unfulfilled. Jobs which people can't take up. -- we have lied

:33:06. > :33:09.unfulfilled. Resentment at being closed off from how the world is

:33:10. > :33:14.changing. And a country which is not making the most of its people. But

:33:15. > :33:20.it need not. We have the power to change it. And in some cases people

:33:21. > :33:24.are already doing so. In my constituency, for example, if we

:33:25. > :33:30.take a school like Holy Trinity Primary School, it ranks among the

:33:31. > :33:34.top 10% of primary schools in England for work with disadvantaged

:33:35. > :33:40.children. And it's rated outstanding. The Ofsted report

:33:41. > :33:45.speaks of a school where, I quote, school leaders and governments are

:33:46. > :33:49.relentlessly focused on achieving the very best for their pupils. From

:33:50. > :33:52.the moment they start in nursery, children achieve exceptionally well

:33:53. > :33:58.and this continues throughout the school. All of this is done in a

:33:59. > :34:02.school where the percentage of pupils receiving the pupil premium

:34:03. > :34:06.is twice the national average, and where the school is about half white

:34:07. > :34:12.British and half a diverse mix of other cultures. Holy Trinity

:34:13. > :34:17.achieves this because of the fantastic leadership of its

:34:18. > :34:20.headteacher, Carol McNally. Great stewardship from its governors. And

:34:21. > :34:27.a refusal to accept anything other than excellence. And it is an island

:34:28. > :34:32.of excellence. We've got other islands of excellence, too. But for

:34:33. > :34:36.all pupils to achieve an excellent education, we don't just need

:34:37. > :34:41.islands of excellence. We need a system of excellence. Where the kind

:34:42. > :34:46.of performance that we see at Holy Trinity, and other schools like it,

:34:47. > :34:51.runs right through the whole school system. So, do we have? I'm afraid

:34:52. > :34:57.we don't. In July of this year, West Midlands MPs received a letter from

:34:58. > :35:00.the regional director of Ofsted about the condition of secondary

:35:01. > :35:05.schools in the Black Country. They expressed concerns about low

:35:06. > :35:12.standards and weaknesses, inequality provision for secondary pupils in

:35:13. > :35:20.all four Black Country areas. The Z pupils' achievement by the age of 14

:35:21. > :35:26.is poor with that compared by others in the West Midlands and nationally.

:35:27. > :35:36.It follows by success to build -- failure to build on achievement in

:35:37. > :35:40.primary school. Were not enough has been done to address these failings

:35:41. > :35:45.over the years. I'm pleased to say that Wolverhampton has been

:35:46. > :35:50.improving fast. It the fourth most improved authority in the country.

:35:51. > :35:55.But that's from a low base and there is still a long, long way to go. So

:35:56. > :35:59.I want to commend my honourable friend, the member for Dudley North,

:36:00. > :36:04.whose convened a meeting between Black Country MPs and the regional

:36:05. > :36:09.director in a few weeks' time. And I hope that this letter is a rallying

:36:10. > :36:13.call for everyone concerned about local education. Everyone in a

:36:14. > :36:17.position of leadership to ask what we can do to improve the picture and

:36:18. > :36:22.create a system of excellence, not just islands of excellence. We

:36:23. > :36:27.cannot be satisfied with the status quo. We ought to be passionate about

:36:28. > :36:32.change. The easiest thing in the world in politics is to be a

:36:33. > :36:38.megaphone for anger. But real leadership is not just about

:36:39. > :36:40.amplifying disaffection. It's about giving people a chance and not a

:36:41. > :36:51.grievance. An improvement in all ability skills

:36:52. > :36:56.for all children has a real chance of doing so.

:36:57. > :37:00.I agree with nearly everything he said until the last line, but there

:37:01. > :37:06.we are. I am grateful for the opportunity to speak in this debate

:37:07. > :37:09.given the inability of the Shadow Secretary of State to answer the

:37:10. > :37:13.question put by my honourable friend from Crawley as to whether a future

:37:14. > :37:18.Labour government would close existing grammar schools, which is a

:37:19. > :37:22.matter of importance to me and my constituents, and also the

:37:23. > :37:26.honourable gentleman sitting next on the opposition front bench, and I

:37:27. > :37:32.hope we'll have an answer to that important question before the end of

:37:33. > :37:36.this debate. Mr Speaker, fundamentally this debate is about

:37:37. > :37:40.social mobility, of course, but it is also about the question of who we

:37:41. > :37:47.believe should make choices in our society. Do we believe that we, in

:37:48. > :37:50.this House, should be directing what should be available to our

:37:51. > :37:54.constituents? Or should we be listening to what they want? Where

:37:55. > :38:01.ever we have selection in our country at the moment my

:38:02. > :38:05.constituents are perhaps the best performing in the country. That

:38:06. > :38:07.system is immensely popular with parents, it is hard to find

:38:08. > :38:12.significant numbers of people who would like to change it, because it

:38:13. > :38:19.works so well. But there are people in this House... Does he accept that

:38:20. > :38:24.in Northern Ireland, where nearly a quarter of the grammar schools for

:38:25. > :38:29.the whole UK exist, that academic results are actually the best of all

:38:30. > :38:35.the areas in the United Kingdom, just reinforcing his argument? If I

:38:36. > :38:38.have time I shall return to some of the excellent results from Northern

:38:39. > :38:42.Ireland later in my remarks. There are those in this House who think it

:38:43. > :38:46.is all right to have a choice of school, or type of school, if you

:38:47. > :38:50.can afford to pay the fees. There are those who think it is all right

:38:51. > :38:55.to have a choice of school if you can afford to buy a House in an

:38:56. > :39:03.expensive catchment area. It is instructive, Mr Speaker, to look at

:39:04. > :39:05.the results of that approach. The borough of Trafford, which has very

:39:06. > :39:14.excellent state education, only 5.2% of pupils go to independent schools.

:39:15. > :39:19.Manchester, 6.7%. Stockport, 10.1%. If you look at Camden, where, we are

:39:20. > :39:26.told, state education has been revolutionised, it is 28.9% of

:39:27. > :39:29.pupils go to independent schools. Let's open up opportunities to

:39:30. > :39:33.people regardless of their ability to pay, and that's exactly what they

:39:34. > :39:37.do in those areas which offer selection in the state sector. But

:39:38. > :39:39.Trafford is outstanding, not just because of the seven grammar

:39:40. > :39:52.schools, it is also the outstanding quality of the

:39:53. > :39:55.high schools. This persistent myth from the 1950s and 60s but if you

:39:56. > :39:58.have grammar schools you have sink schools is an utter nonsense and

:39:59. > :40:00.should be rejected. We have heard mentions of Knowsley and the report

:40:01. > :40:04.produced for it. One thing that has not been mentioned is that one of

:40:05. > :40:08.the so-called secondary modern schools in my constituency, we call

:40:09. > :40:13.them high schools, it spawned the Dean trust, a very good, effective

:40:14. > :40:18.Academy trust, and is so good that it has been brought into Knowsley,

:40:19. > :40:22.as my honourable friend, former Secretary of State said, looking for

:40:23. > :40:27.excellent from outside. It is to Trafford high schools that they have

:40:28. > :40:31.turned. That gives the lie to the nonsense about no attainment in

:40:32. > :40:38.those schools. Also, we should reflect on some of really damning

:40:39. > :40:43.evidence about the degree of social segregation elsewhere in the system.

:40:44. > :40:48.If we look at the record of the last Labour government, it was alluded to

:40:49. > :40:54.earlier, let's look at the findings in 2010, from the Sutton trust. It

:40:55. > :40:59.looks at the 100 most socially selective schools in the country.

:41:00. > :41:04.And 91 of them were comprehensive schools. Selecting by catchment, by

:41:05. > :41:13.postcode, by the ability to buy a House in the catchment area. I know

:41:14. > :41:17.he is a passionate advocate of grammar schools in his constituency

:41:18. > :41:22.but one of the issues that has not been thrown into the debate so far

:41:23. > :41:32.is ethnic segregation. Does he agree that white British pupils make up

:41:33. > :41:34.70% of all pupils but only 16% in selective schools. One of the items

:41:35. > :41:39.is that white working-class boys would benefit from the selection,

:41:40. > :41:43.does he agree that it is not the case? Actually those numbers are

:41:44. > :41:47.rising fast, I would say. And if you look at the answer to a written

:41:48. > :41:53.question I tabled recently you will see the evidence that every single

:41:54. > :41:57.ethnic minority group, including white British, performs better in

:41:58. > :42:00.partially selective areas than in comprehensive areas, and better

:42:01. > :42:06.still in partially selected areas. If we look at A-level results, I

:42:07. > :42:13.can't... I have given my time up for interventions. If we look at A-level

:42:14. > :42:18.results. Eight of the top ten local authorities are selective or

:42:19. > :42:26.partially selective. Trafford, 35.8% achieving those top A-level grades.

:42:27. > :42:31.GCSE, those achieving a star through to see, the national average is

:42:32. > :42:36.52.8%, if you look at the top achieving authorities, seven out of

:42:37. > :42:39.ten are selective or part selective. That is not the grammar schools,

:42:40. > :42:48.that is the whole local education authority areas. Trafford sees a

:42:49. > :42:56.70.8% this year getting five or more a- C grades. 70% getting those

:42:57. > :42:58.grades in English and maths. If we look at participation levels and

:42:59. > :43:05.higher education Trafford gets a 72%. If I can come back to Trafford

:43:06. > :43:09.and its participation in higher education, 72% go into higher

:43:10. > :43:13.education, and if you look at those going into the top third of higher

:43:14. > :43:18.education institutions, nine of the top ten authorities are selective or

:43:19. > :43:21.part selective. If you look at students going to Russell group

:43:22. > :43:25.universities, seven of the top ten are selective or part selective, and

:43:26. > :43:39.Trafford, as my honourable friend will know very well, is the only one

:43:40. > :43:41.in the top 20 in the country in the north or the Midlands, in their

:43:42. > :43:43.entirety. Members opposite in the north of the Midlands who want to

:43:44. > :43:47.see more opportunities for the constituents would be wise to pay

:43:48. > :43:52.close attention to that. I have to say, the culture of expectation and

:43:53. > :43:57.aspiration runs so deep in Trafford, we saw at the weekend of the parent

:43:58. > :44:03.power top 250 primary schools in the country in the Sunday Times, nine of

:44:04. > :44:08.them work Trafford schools. The second was Park Road primary School

:44:09. > :44:14.in my constituency. I am obviously delighted to congratulate it on this

:44:15. > :44:19.occasion. Returning, because I was asked to do so by the honourable

:44:20. > :44:25.gentleman from Northern Ireland, if we look at the performance of the

:44:26. > :44:29.most effective selective systems in Northern Ireland, holy selective

:44:30. > :44:34.education systems, which it has been for a very long time, the percentage

:44:35. > :44:40.of children eligible for free school meals in Northern Ireland, achieving

:44:41. > :44:50.five or more A- C grades at GCSE, 70%. That compares to the figure for

:44:51. > :44:54.England and Wales. 45.6%. So dramatically better. If we look at

:44:55. > :45:00.those in England achieving that performance, including English and

:45:01. > :45:04.maths, 33%, against 45% in Northern Ireland. What we need to look at Mr

:45:05. > :45:10.Speaker is how we can expand this real choice, how we can expand the

:45:11. > :45:15.number of good schools of all sorts, but we cannot tolerate any longer a

:45:16. > :45:19.situation in this country where people are allowed the choice of

:45:20. > :45:26.good school, which can transform life chances if they are rich enough

:45:27. > :45:35.to pay the fees of rich enough to buy a House in the catchment area of

:45:36. > :45:42.one of the top comprehensive schools. I am very pleased that it

:45:43. > :45:45.is my honourable friend from Ashton-under-Lyne who initiated this

:45:46. > :45:49.important debate, making an absolutely excellent speech. The

:45:50. > :45:53.whole House will agree that education is the most powerful

:45:54. > :45:58.engine of social mobility that there is. It broadens horizons, open

:45:59. > :46:03.stores, and should be accessible to all. There is nothing more inspiring

:46:04. > :46:08.and transformative and then people increasing their knowledge,

:46:09. > :46:11.realising their potential, and changing their life circumstances. I

:46:12. > :46:24.owe my grandmother a debt of gratitude for pushing me to do well

:46:25. > :46:26.at night school and giving me a lifelong love of reading. Education

:46:27. > :46:29.later in life gave me the opportunities that changed my life.

:46:30. > :46:30.I want others to be able to have those same chances.

:46:31. > :46:33.As the government social mobility commission state of the nation

:46:34. > :46:38.report showed, this engine is spluttering, rather than firing on

:46:39. > :46:42.all cylinders. As the commission's report concludes, the runs on the

:46:43. > :46:48.social mobility that are growing further apart. Those words should be

:46:49. > :46:53.a call to action. Yet the government appears to only of a mere words. The

:46:54. > :46:57.action we need is not falling back on the field prescriptions of the

:46:58. > :47:08.past, like trying to revive grammar schools. We need to be looking at a

:47:09. > :47:11.future face of all bridging the gap between education and employment.

:47:12. > :47:15.The traditional world of work is rapidly changing, but much of our

:47:16. > :47:21.curriculum is hopelessly lagging behind the pace of change. If

:47:22. > :47:26.education is to be a powerhouse of social mobility it needs to work in

:47:27. > :47:30.tandem with the demands of a modern economy. Government seems to

:47:31. > :47:37.recognise this in fits and starts. It launched a half baked initiative

:47:38. > :47:41.that rightly drew much criticism. Not least because the executive

:47:42. > :47:46.director did not even know how to code. Advisers were quitting, saying

:47:47. > :47:51.that they wanted nothing to do with it, and the government has come

:47:52. > :47:55.scurrying back to its comfort zone of 1950s Britain, where privileged

:47:56. > :47:59.children learned Latin and grammar schools were the great hope. That is

:48:00. > :48:03.where we are now and it is just not good enough. There is a wealth of

:48:04. > :48:10.evidence highlighting how ill-prepared we are. A study

:48:11. > :48:15.revealed that a lack of digital skills, digital poverty, is causing

:48:16. > :48:19.the failure of far too many UK start-ups. But it is not just things

:48:20. > :48:23.like vital text skills we are failing to equip our children must.

:48:24. > :48:27.Failing to meet engineering skills demand is costing the United Kingdom

:48:28. > :48:33.?27 billion per year according to engineering UK. The gap between the

:48:34. > :48:39.New World of work and education continues to widen. We need to start

:48:40. > :48:45.narrowing the gap between education and employers. A survey by the

:48:46. > :48:48.Gatsby foundation found that in only 40% of schools did a young person

:48:49. > :48:54.have an encounter with an employer at least once a year from year seven

:48:55. > :48:59.onwards. We can do better than this. I do believe that Labour, the party

:49:00. > :49:05.of work, recognises that education cannot exist in a vacuum. Unless

:49:06. > :49:09.education adapt to changing employment landscape that we set up

:49:10. > :49:15.then we will set up our children to fail. With recent research by Oxford

:49:16. > :49:20.University and Deloitte suggesting that 850,000 public sector jobs

:49:21. > :49:25.could be lost due to automation by 2030. It is clear that we should be

:49:26. > :49:31.preparing now for a brave New World. In Autumn Statement that is that the

:49:32. > :49:35.Chancellor is able to able to rise to this challenge, and kick-start a

:49:36. > :49:42.vision for social mobility. If the government does not act those who

:49:43. > :49:50.are just about managing now will soon become left on the scrap heap.

:49:51. > :49:54.Finally, any vision of social mobility has to have a chance of

:49:55. > :49:58.laying down roots and being seen as credible. Then we will need

:49:59. > :50:04.Parliament to start being seen as a proper, living example of social

:50:05. > :50:08.mobility. We have seen the reaction in America to the Clintons and

:50:09. > :50:12.bushes as the American dream of social mobility has withered away.

:50:13. > :50:15.People want their governments to get real and create a genuine

:50:16. > :50:21.stakeholder Society where everyone is a chance to get on. In Britain

:50:22. > :50:27.they want the British promise we are hard work is rewarded to finally

:50:28. > :50:32.mean something again. That is now the challenge for this government.

:50:33. > :50:40.With immediate effect the time limit and backbench speeches must now be

:50:41. > :50:43.reduced to five minutes. It is a particular pleasure to speak in this

:50:44. > :50:48.debate having attended a south London grammar school myself, I can

:50:49. > :50:53.say from personal experience I would not be here were not for that

:50:54. > :50:55.grammar school, and so I feel an obligation to other youngsters

:50:56. > :51:00.growing up in south London from ordinary backgrounds like mine to

:51:01. > :51:04.speak up when the opportunity arises. I would like to echo many of

:51:05. > :51:07.these things my honourable friend from altering said earlier, in

:51:08. > :51:15.particular highlighting the terrible unfairness that in our system today

:51:16. > :51:18.very often the only way to be sure of an outstanding education is to

:51:19. > :51:23.pay for it either by going private or buying a much more expensive

:51:24. > :51:27.House in the catchment area of a good school. It is a disgrace that

:51:28. > :51:33.the only way to be sure of an academic education is to pay for it

:51:34. > :51:37.today. Let me pick up on the... In a moment, I will take interventions in

:51:38. > :51:40.a moment. Let me begin by responding to a question which the Treasury

:51:41. > :51:44.Select Committee colleague of mine posed to the Secretary of State. He

:51:45. > :51:45.asked for evidence that children from ordinary backgrounds do better

:51:46. > :51:59.in grammar schools. Firstly, in areas where at least 10%

:52:00. > :52:04.of pupils are collected, free school meals kids get seven GCSE grade

:52:05. > :52:09.notches better than equivalent children in nonselective schools.

:52:10. > :52:15.That is as seven great boost. Secondly, for white, male children,

:52:16. > :52:19.the former Secretary of State asked about white, male children from

:52:20. > :52:23.privileged backgrounds, those who go to grammar schools have a 30% higher

:52:24. > :52:30.chance of going to university than those who do not go to grammar

:52:31. > :52:34.schools. I have to say that I think that any parent or teacher watching

:52:35. > :52:37.this and hearing somebody from the government benches saying the only

:52:38. > :52:43.way to guarantee an excellent education is to pay for it is

:52:44. > :52:48.absolutely ravishing our excellent education system. The fact is many

:52:49. > :52:54.parents want to socially select their children, but if we flip this

:52:55. > :52:57.issue and look at the progress being made, with preschool real children

:52:58. > :53:04.he will find the comprehensive system massively exceed that of the

:53:05. > :53:09.private system. It is very clear in my area in Croydon that parents who

:53:10. > :53:13.want an academic education have to travel out of the borough to either

:53:14. > :53:18.Bromley or Saturn because the kind of education they want for their

:53:19. > :53:23.children is not available. Where parents want a particular kind of

:53:24. > :53:29.education for their children it is not up to this house on ideological

:53:30. > :53:32.grounds to deny them that choice. We should be enabling choice. No one on

:53:33. > :53:40.this side of the House is suggesting a return to the 1944 education act

:53:41. > :53:44.system. The kind of system we are proposing is a diverse system where

:53:45. > :53:49.there are a whole range of different schools with different specialisms.

:53:50. > :53:54.We have different kinds of academies and free schools and grammar schools

:53:55. > :53:59.have a place in that diverse system along with lots of other schools.

:54:00. > :54:05.Parents can exercise choice over which kind of school works for them.

:54:06. > :54:08.What is clear is that where children from ordinary backgrounds go to

:54:09. > :54:15.grammar schools they do significantly better than if they

:54:16. > :54:20.did not. I am grateful to my colleague for giving way. Part of

:54:21. > :54:23.the reason for that is by their very nature of academic selection the

:54:24. > :54:27.higher attaining pupils from the poorest backgrounds are attending

:54:28. > :54:31.those schools. When you look at the evidence base as a whole, the

:54:32. > :54:34.evidence shows if you are from a deprived background going to a

:54:35. > :54:39.grammar school you are less likely to do as well as you're better off

:54:40. > :54:43.counterparts and the impact on the system as a whole is not positive.

:54:44. > :54:53.Every leading educational expert says this is a bad policy. I would

:54:54. > :55:02.refer him to the educational is situation report. Perhaps he has not

:55:03. > :55:06.had a chance to read it. That found the seven great advantage adjusts

:55:07. > :55:10.for the prior academic attainment. The child with the same level of

:55:11. > :55:17.attainment does better in a grammar school. Let me come onto the two

:55:18. > :55:22.objections that I have heard from the opposition. There are two

:55:23. > :55:27.reasonable objections which one might make. It is fair to

:55:28. > :55:33.acknowledge them and answer them. The first is grammar schools only

:55:34. > :55:39.admit 3% of their pupils with free school meals were as the population

:55:40. > :55:44.as a whole it is 13%. It is right to draw attention to that deficiency

:55:45. > :55:47.and question it. It is possible by being inventive to radically

:55:48. > :55:53.increase the free school meal percentage and there is a great

:55:54. > :55:57.example at the King Edward VI Grammar School in Birmingham where

:55:58. > :56:05.they have increased their intake from 3% up to over 20%, above the

:56:06. > :56:09.national average by doing a series of innovative things, including

:56:10. > :56:17.active outreach into primary school areas, free school coaching on the

:56:18. > :56:22.tests to deprived families. They provide bursaries so parents who are

:56:23. > :56:27.worried about the cost of school uniforms or a musical instrument or

:56:28. > :56:32.travel costs have those concerns are taken care of. They have transformed

:56:33. > :56:40.their free school meal intake. He will be aware of the evidence given

:56:41. > :56:44.by Becky Allen to the Education Select Committee which shows the

:56:45. > :56:48.negative impact on other grammar schools who have now lost free

:56:49. > :56:52.school meal children. He is arguing that overall the number of preschool

:56:53. > :56:58.children will go up if he wants this policy to work. I am arguing for

:56:59. > :57:03.them to do outreach to make sure we go from 3% to a higher figure so

:57:04. > :57:08.children from deprived backgrounds can do well and get in. The County

:57:09. > :57:13.Grammar School next door to my borough in Saturn has a slightly

:57:14. > :57:17.lower test threshold for free school meals children and they have

:57:18. > :57:23.increased their intake. I am happy to see in the green paper on page 25

:57:24. > :57:26.the government is saying a number of these things we have seen working in

:57:27. > :57:33.King Edward VI and in Warrington boys school will be the conditions

:57:34. > :57:37.of new grammar schools opening. By attaching those conditions the

:57:38. > :57:40.government is addressing the reasonable concerns that have been

:57:41. > :57:46.raised on both sides of the House. The other objection I have heard and

:57:47. > :57:51.the former Secretary of State just alluded to it, is that in selected

:57:52. > :57:55.areas nonselective schools do worse because the selective schools have

:57:56. > :58:02.creamed off the best pupils. There is not clear evidence for that.

:58:03. > :58:08.There are reports on both sides. The Sutton trust in 2008 found no such

:58:09. > :58:11.effect and another study found a marginal effect and we have heard my

:58:12. > :58:18.honourable friend referred to Northern Ireland. We will not have

:58:19. > :58:24.sedentary interventions and waving around of documents. It is simply

:58:25. > :58:30.not done in here. Thank you for defending me so valiantly. We heard

:58:31. > :58:33.from my honourable friend how Northern Ireland is an excellent

:58:34. > :58:40.case study where the entire educational system has done well in

:58:41. > :58:44.that system. Let me conclude that I believe with the reforms in the

:58:45. > :58:50.green paper this system can work and help children from deprived

:58:51. > :58:55.backgrounds fulfil their potential. Thank you, Madam Deputy Speaker, for

:58:56. > :59:00.calling me to speak in this important but sadly repetitive

:59:01. > :59:05.debate. It is an issue that rears its head every time we have a

:59:06. > :59:10.Conservative government. What is the Conservative Party's fascination

:59:11. > :59:14.with grammar schools? When it comes to social mobility the conservative

:59:15. > :59:19.response is to resort to dogma will stop a return to grammar schools in

:59:20. > :59:24.bodies retrograde thinking. It is a system that benefits only a few.

:59:25. > :59:29.There is no evidence, no justification and no basis to the

:59:30. > :59:33.belief that selective education leads to improved social mobility.

:59:34. > :59:40.You do not have to take my word for it. The government's advisory body

:59:41. > :59:44.on social mobility says grammar schools do not work. Education is

:59:45. > :59:49.the single most important tool available to each and every

:59:50. > :59:55.government in improving social mobility within this country. It is

:59:56. > :59:59.that this government's fascination with selective education makes any

:00:00. > :00:03.real dialogue about how we can improve social mobility in this

:00:04. > :00:07.country and is lost to the noise of Tory MPs calling for the

:00:08. > :00:13.reintroduction of grammar schools. This is a debate we have time and

:00:14. > :00:18.time again with the same conclusion, grammar schools do not work. There

:00:19. > :00:22.is no basis to the belief that selective education leads to

:00:23. > :00:30.improved social mobility. There is no easy way to improve social

:00:31. > :00:34.mobility in this country. Anyone who believes so is sadly deluded. Social

:00:35. > :00:41.mobility can only be improved through a tide of political will.

:00:42. > :00:47.Most importantly through unwavering investment long-term and not just

:00:48. > :00:52.during one Parliamentary term. I am proud that under the previous Labour

:00:53. > :00:57.government such political will did exist and we were funding to help

:00:58. > :01:03.all children, not just the select few educated in our private school

:01:04. > :01:08.system. Under a Labour government school budgets increased year on

:01:09. > :01:11.year. Under this government the ISS forecasts school budgets will fall

:01:12. > :01:17.in real terms by 8% over this Parliament. Under a Labour

:01:18. > :01:21.government the educational maintenance allowance was introduced

:01:22. > :01:25.to help children from low income families to continue in further

:01:26. > :01:30.education. Under the party opposite it was scrapped. The further

:01:31. > :01:37.education sector has faced real term cuts of 14%. The maintenance grant

:01:38. > :01:43.in the higher education sector is set to be scrapped. This is a recipe

:01:44. > :01:48.for social mobility disaster undermining all the progress of

:01:49. > :01:52.recent years to raise aspiration. At this time in my constituency we need

:01:53. > :02:00.more help, investment and for long-term planning, not less. In

:02:01. > :02:07.2010-2011, the last year of the maintenance grants, there were over

:02:08. > :02:14.8000 recipients in my district. It was ranked 64th nationally on the

:02:15. > :02:20.index of multiple deprivation. By 2015 its position has worsened to

:02:21. > :02:23.41st, pointing to an increase in need and suggesting a greater number

:02:24. > :02:31.of young people would have benefited from the maintenance grant. Of 656

:02:32. > :02:38.constituencies in the UK, my constituency ranked 600 a night for

:02:39. > :02:43.the percentage of individuals with a level four qualification or above.

:02:44. > :02:46.When it comes to the percentage of individuals without any

:02:47. > :02:51.qualifications whatsoever, Bradford South is 74th in our league tables.

:02:52. > :02:55.The grammar school will not change that. This government should reflect

:02:56. > :03:00.on their record in government, there is adequate investment, and do the

:03:01. > :03:08.right thing. And their fascination with grammar schools and most

:03:09. > :03:18.importantly committed to investment over the long term. Thank you, Madam

:03:19. > :03:22.Deputy Speaker. Can I welcome the debate and there is wide agreement

:03:23. > :03:26.about the stagnant state of social mobility in the UK, but less

:03:27. > :03:33.agreement about the right way to revive it. There are also, and it is

:03:34. > :03:35.an elephant in the room in this debate, deep philosophical

:03:36. > :03:40.differences by those inspired by America cripple situation and those

:03:41. > :03:47.who take an eagle at area and view and that is healthy and respectable.

:03:48. > :03:52.You will find the idea of meritocracy very hard to reconcile

:03:53. > :03:58.with your worldview. Some members opposite ought to be a bit more

:03:59. > :04:05.honest about that. The truth is I support the meritocratic vision on

:04:06. > :04:11.moral grounds because in my view, unlike the egalitarian mirage, it is

:04:12. > :04:15.a vision that can reinforce, not paralyse, a healthy, vibrant and

:04:16. > :04:22.competitive economy that creates jobs, wages and tax revenues for our

:04:23. > :04:25.public services. I want to come onto the issue of evidence around

:04:26. > :04:30.selection and I think there is strong evidence in favour of it if

:04:31. > :04:34.it is done right way. We see that in existing selection we have in the

:04:35. > :04:39.current school system at 16 when pupils want to stay on to do

:04:40. > :04:42.A-levels and into university. The opposition motion says there is no

:04:43. > :04:49.evidence that selection will improve social mobility. But this is clearly

:04:50. > :04:55.still a very contentious issue. I am not saying it is cut and dried, but

:04:56. > :04:59.there is compelling evidence in favour of it. The review conducted

:05:00. > :05:07.by a former chief inspector of schools in 2009. On a Select

:05:08. > :05:11.Committee I sat on in 2013 there was evidence that supported selection as

:05:12. > :05:17.long as admissions were Don on a clear and objective basis and as

:05:18. > :05:22.long as there were opportunities for selection later on. The opposition

:05:23. > :05:29.motion is flawed. But expanding grammar schools needs to be done the

:05:30. > :05:34.right way and it needs to be fair with grammar school expanded beyond

:05:35. > :05:38.a middle-class preserve. There is a strong case for making sure the

:05:39. > :05:46.first charge is done in those areas with very high levels of deprivation

:05:47. > :05:49.and lower educational standards. It creates an opportunity from those

:05:50. > :05:54.kids from the council estates or the backwaters. It is a reasonable

:05:55. > :05:59.question at what age selection should take place. I agree with the

:06:00. > :06:04.OECD that there ought to be doors at different ages to make sure we do

:06:05. > :06:11.not close off opportunities for late developers. Of course it goes

:06:12. > :06:15.without saying this is not a 0-sum gate. You can support grammar

:06:16. > :06:19.schools and raise standards right across the whole state education

:06:20. > :06:24.system and particularly in the most deprived areas which is what we have

:06:25. > :06:28.seen under the existing government with 1.4 million children going to

:06:29. > :06:34.schools that are good or outstanding compared to 2010 and specifically

:06:35. > :06:35.with policies like the pupil premium specifically designed to target

:06:36. > :06:49.children in the most deprived areas. The other mode of -- note of

:06:50. > :06:53.caution, this is not a silver bullet, it is one piece of a jigsaw,

:06:54. > :06:56.patiently putting together a jigsaw that will help provide social

:06:57. > :07:01.mobility. I support the proposals of the Green paper on harnessing the

:07:02. > :07:05.talent and innovation of the independent sector and they would go

:07:06. > :07:08.further, I like the idea of the Sutton trust opening up all

:07:09. > :07:12.independent schools on a meritocratic, means tested basis, it

:07:13. > :07:16.would massively widen their intake of youngsters from humble

:07:17. > :07:19.backgrounds. Notwithstanding the great strides made in

:07:20. > :07:22.apprenticeships and vocational training this country still has a

:07:23. > :07:26.massive hang-up with the technical route to making a success of

:07:27. > :07:29.yourself, whether it is through vocational training or

:07:30. > :07:33.apprenticeships. We don't have the same parity of esteem you see in

:07:34. > :07:38.France, Switzerland, Germany. I would like to see us do more in

:07:39. > :07:41.relation to those errors, and non-graduate roots to the

:07:42. > :07:46.professions, to create the ladders of opportunity, not just for bright

:07:47. > :07:54.academic youngsters, but also for bright and not necessarily bookish

:07:55. > :08:00.youngsters. One look at the issue across the board I share the

:08:01. > :08:04.inspiring vision set out to make Britain the great meritocracy of the

:08:05. > :08:07.world, this is only the first step, many people talk a good game about

:08:08. > :08:15.social mobility without being willing to get behind, deliver and

:08:16. > :08:23.will the means to let -- means to it. We face two major challenges in

:08:24. > :08:25.education in Britain. First, we are falling rapidly behind other

:08:26. > :08:34.countries in basic numeracy and youth literacy, Estonia, Poland,

:08:35. > :08:37.Slovakia, the Czech Republic, and it is a reason why recently the

:08:38. > :08:43.education select committee was told that we have a mediocre education

:08:44. > :08:46.system in our country. Secondly, with the innovation economy creating

:08:47. > :08:50.jobs at a much higher rate than the economy as a whole, and with jobs

:08:51. > :08:54.that require no skills or low skill is disappearing at a rapid rate, we

:08:55. > :08:58.need to educate all of our young people to a high standard. Last

:08:59. > :09:04.week's social mobility commission report, as we heard, compared

:09:05. > :09:09.children from the most advantaged areas with the private areas, most

:09:10. > :09:13.deprived areas are 27 times more likely to go to an inadequate

:09:14. > :09:17.school, more likely to drop out of education at 16, 30% less likely to

:09:18. > :09:22.study A-levels and reach a top university. White working-class boys

:09:23. > :09:25.are even worse. New research by the Sutton trust shows that three

:09:26. > :09:31.quarters been badly let down, failing to achieve five good GCSEs

:09:32. > :09:34.grades, compare that to pupils from independent schools, just five

:09:35. > :09:39.public schools send more pupils to Oxbridge than 2000 state schools,

:09:40. > :09:51.two thirds of the entire state sector. Despite accounting for just

:09:52. > :09:54.7% of school pupils rose from independent schools represent seven

:09:55. > :09:56.out of ten High Court judges, more than half our leading journalists,

:09:57. > :09:59.doctors, more than a third of MPs. I want to see the whole country united

:10:00. > :10:02.around the mission of driving up standards and open opportunity for

:10:03. > :10:06.all pupils. But grammar schools will only improve social mobility of poor

:10:07. > :10:09.children are able to go to them. Analysis by the education data that

:10:10. > :10:14.showed poor children are much less likely to get in then they're better

:10:15. > :10:18.off peers. Poor children of already had a poor start to their education,

:10:19. > :10:22.by the age of 11, making it harder for them to get into grammar

:10:23. > :10:25.schools, but even if you take two children from the same schools at

:10:26. > :10:35.Key stage two, the poorer child is less likely to pass an entry exam

:10:36. > :10:38.entered into a grammar school. In areas with selective grammar schools

:10:39. > :10:40.the gap between rich and poor is greater than in areas without any

:10:41. > :10:42.grammar schools at all. Grammar schools also put a barrier between

:10:43. > :10:45.the pupils in some of the most experienced teachers in the country.

:10:46. > :10:48.Again the education data showed that 54%

:10:49. > :10:55.teachers in grammar schools have been in the industry for ten years,

:10:56. > :10:59.and secondary modern, there's less experience. I think there should be

:11:00. > :11:02.better schools for every child, and instead of using scarce resources on

:11:03. > :11:06.the new grammar schools, focus on improving early years education and

:11:07. > :11:09.tackle stubborn levels of underachievement, as we heard

:11:10. > :11:12.earlier, in areas like the Midlands and the North. Provide incentives

:11:13. > :11:16.and support for experienced teachers, get them into schools with

:11:17. > :11:19.poorer children, and help them stay in the profession. Anyone who visits

:11:20. > :11:33.a school that has been turned round seen a

:11:34. > :11:36.dramatic improvement in results will know it is impossible without the

:11:37. > :11:39.inspirational leadership that the heads provide, so we need new ways

:11:40. > :11:41.of identifying, recruiting, training a new generation of headteachers,

:11:42. > :11:43.and new grammar schools will not tackle the fundamental problem is

:11:44. > :11:45.that our education system faces. They will not transform the quality

:11:46. > :11:48.of education for all pupils, they will not tackle the social mobility

:11:49. > :11:50.crisis we face in Britain, this policy will do nothing to tackle the

:11:51. > :11:53.chronic shortage of teachers, the teacher recruitment and retention

:11:54. > :11:58.crisis that we face in our country, it will not help identify, train,

:11:59. > :12:01.and recruit a new generation of brilliant heads, it will not improve

:12:02. > :12:04.early years education which is the key to giving every child a

:12:05. > :12:33.first-class start, it will not improve the status and

:12:34. > :12:36.quality of vocational education, it will do nothing about the funding

:12:37. > :12:38.crisis facing post-16 education, and the deepest cuts, the deepest cuts,

:12:39. > :12:41.that the further education sector has ever seen, and these are the

:12:42. > :12:44.issues that the government ought to address, and I think we should agree

:12:45. > :12:46.is a country, education is in a more priority. Let's sweep aside the

:12:47. > :12:48.all-party political dogma and instead of using time, energy, and

:12:49. > :12:49.resources on expensive and time-consuming structural changes

:12:50. > :12:51.for which there is absolutely national debate about education,

:12:52. > :12:53.let's involve all parties, employers, the teaching profession,

:12:54. > :12:56.and so based on the evidence we can work out how a modern education

:12:57. > :12:58.system can be structured and what young people need to look for the

:12:59. > :13:00.modern let's have a national debate about education, let's involve all

:13:01. > :13:03.parties, employers, the teaching profession, and so based on the

:13:04. > :13:05.evidence we can work out how a modern education system can be

:13:06. > :13:12.structured and what young people need to learn for the modern reforms

:13:13. > :13:16.since 2010 that there are 1.4 million more children now attending

:13:17. > :13:20.schools that are rated as good or outstanding then compared with six

:13:21. > :13:29.years ago. Furthermore, ?2.5 billion has been invested this year in the

:13:30. > :13:32.pupil premium that is reducing the attainment gap between children from

:13:33. > :13:34.thank you, Madam Deputy Speaker, the recent publication of the social

:13:35. > :13:37.mobility commission annual State of the nation report highlight the

:13:38. > :13:39.challenges that we continue to face when it comes to tackling education

:13:40. > :13:41.inequality and improving social mobility. Thanks to the government

:13:42. > :13:43.reforms since 2010 that there are 1.4 million more children now

:13:44. > :13:45.attending schools that are rated as good or outstanding then compared

:13:46. > :13:48.with six years ago. Furthermore, ?2.5 billion has been invested this

:13:49. > :13:49.year in the pupil premium that is reducing the attainment gap between

:13:50. > :13:50.children from disadvantaged backgrounds and they're better off

:13:51. > :14:07.peers in both primary and and I would say to the

:14:08. > :14:10.member from Bradford South that he is having a much bigger impact than

:14:11. > :14:13.TMA ever did or ever would have, however, there is still far more to

:14:14. > :14:16.do, if you live in the Midlands or the North you have less of a chance

:14:17. > :14:18.of attending a good school and children in the South, just 5% of

:14:19. > :14:21.children eligible for free school meals came in those five a grades at

:14:22. > :14:24.GCSE, while work working-class boys, as we have heard many times today,

:14:25. > :14:26.are less likely to go to university than any other group in as was

:14:27. > :14:28.mentioned earlier it is absolutely vital age as we know that

:14:29. > :14:31.educational inequality time is given to children of a young age as we

:14:32. > :14:33.know that educational inequality year stated that children from the

:14:34. > :14:35.North are already behind their southern counterparts by the age of

:14:36. > :14:38.five. By September next year the government will double the current

:14:39. > :14:40.number of 15 hours of free charge per week for all 34 school age.

:14:41. > :14:42.Indeed, a report from the institution of public policy

:14:43. > :14:44.research in this year stated that children from the North are already

:14:45. > :14:47.behind their southern counterparts by the age of five. By September

:14:48. > :14:56.next year the government will double the current number of 15 hours of

:14:57. > :14:59.recharger per week for all three and in England to 30 hours, part of a

:15:00. > :15:01.record ?6 billion per year in investment and childcare by the end

:15:02. > :15:04.of this Parliament. The introduction of the early years pupil premium has

:15:05. > :15:06.equipped providers with the flexibility to innovate towards

:15:07. > :15:15.improving the quality of early years provision for each eligible

:15:16. > :15:18.children. I would mention one incredible important group of young

:15:19. > :15:20.people who we must also consider as part of this, and that is children

:15:21. > :15:22.who are looked after in the state system, outcomes for our looked

:15:23. > :15:34.after children in education are poorer than their peers, and the gap

:15:35. > :15:38.gets wider as the children get should not have and how far they go

:15:39. > :15:41.in life, it is imperative that we remain mindful of looked after

:15:42. > :15:46.children and they sometimes unique obstacles that they face. And all of

:15:47. > :15:49.this is where we are in their current system. We can while trends

:15:50. > :15:51.in the educational attainment of children are generally improving

:15:52. > :15:53.these children are still far less likely than their peers to achieve

:15:54. > :15:56.good GCSE results, A-level results, and indeed they tend not to go to

:15:57. > :15:58.university. When we speak out about social mobility consumer that HR's

:15:59. > :16:01.background should not have and how far they go in life, it is

:16:02. > :16:03.imperative that we remain mindful of looked after children and they

:16:04. > :16:06.sometimes unique obstacles that they face. And all of this is where we

:16:07. > :16:08.are in their current system. We can that despite the improvements that

:16:09. > :16:11.have been made since 2010 in many parts of the country there is still

:16:12. > :16:13.a shortage of good school places. And adequate choice for parents when

:16:14. > :16:15.it comes to choosing the best education for their child. There are

:16:16. > :16:17.two grad schools within my local both provide an excellent education

:16:18. > :16:20.to children and are proving incredibly popular with it is only

:16:21. > :16:24.those in middle income and high net worth families that tend to access

:16:25. > :16:26.these schools because of the area for many years. Sadly though, whilst

:16:27. > :16:29.popular with all parents, it is only those in middle income and high net

:16:30. > :16:37.worth families that tend to access these schools because and access to

:16:38. > :16:40.the right school places for each individual child cost associated,

:16:41. > :16:42.whether it is tuition, or private schooling. This has been a bugbear

:16:43. > :16:45.of mine for many years. If only our local primary schools were serious

:16:46. > :16:47.about social mobility and access to the right school places for each

:16:48. > :16:49.individual why don't they offer tuition to access grammar schools

:16:50. > :16:56.for those children who are capable and, from how much they get from

:16:57. > :17:00.pupil premiums. It is because they oppose the principle means? This,

:17:01. > :17:03.Madam Deputy Speaker, is not because of schools cannot afford to, we have

:17:04. > :17:05.already heard how much they get from pupil premiums. It is because they

:17:06. > :17:08.oppose the indeed, to the many members opted to suppose this in --

:17:09. > :17:12.post is in principle, I would say, this is already an in-built part of

:17:13. > :17:16.the comprehensive system at present. Having a ban on grammar schools only

:17:17. > :17:19.causes an in-built discrimination against those without monetary

:17:20. > :17:24.means. Comprehensive schools also tend to be highly selective on

:17:25. > :17:28.wealth in other areas, as is widely acknowledged, good or outstanding

:17:29. > :17:30.schools are disproportionately in well to -- post this in principle, I

:17:31. > :17:33.would say, this is already an in-built part of the comprehensive

:17:34. > :17:35.system at present. Having a ban on grammar schools only causes an

:17:36. > :17:36.in-built discrimination against those without monetary means.

:17:37. > :17:38.Comprehensive schools also tend to be highly selective on wealth in

:17:39. > :17:40.other areas, as is widely acknowledged, good or outstanding

:17:41. > :17:43.schools are disproportionately in well to do unfortunately I do not

:17:44. > :17:46.have a great deal of time left for my increasing choice for parents I

:17:47. > :17:48.believe there is a case for relaxing restrictions on selective education

:17:49. > :17:50.and that in this proposal, along with what I would say is that in the

:17:51. > :17:53.interest of educating standards and increasing choice for parents I

:17:54. > :17:55.believe there is a case for relaxing restrictions on selective education

:17:56. > :17:57.and that in this proposal, along with other indeed will increase

:17:58. > :17:59.social mobility. Indeed will increase social mobility. Thank am

:18:00. > :18:02.afraid we are overrunning and I must reduce the time limit to there are

:18:03. > :18:05.so many interventions that I am afraid we are overrunning and I must

:18:06. > :18:10.reduce the time four minutes. Liz that the government plans many

:18:11. > :18:16.speakers said that the government plans to will increase not decrease

:18:17. > :18:19.it. All the evidence shows that poor children are more likely to fall

:18:20. > :18:23.behind their better off peers and the effects can be long-lasting. Our

:18:24. > :18:25.opposition to grammar schools and to the government not decreasing. All

:18:26. > :18:28.the evidence shows that poor children are more likely to fall

:18:29. > :18:30.behind their better off peers and the effects can be long-lasting. Our

:18:31. > :18:33.opposition to grammar schools and to the does not mean we are in how well

:18:34. > :18:36.poor and better of children do at complacent about the achievement gap

:18:37. > :18:43.between how well poor and better of children do at far from it. Members

:18:44. > :18:49.on this side of the most deprived areas. But this must never be used

:18:50. > :18:51.as an excuse for tolerating failure of low the complex problems facing

:18:52. > :18:54.many children and families in our most deprived areas. But this must

:18:55. > :18:57.never be used as an excuse for tolerating failure of low we must be

:18:58. > :19:00.fearless champions of. Getting a great education is about more than

:19:01. > :19:03.and always put their needs first. Getting a great education is about

:19:04. > :19:06.more than the the chance to fulfil their potential, it must be at the

:19:07. > :19:11.heart of our response to globalisation also. The world is

:19:12. > :19:14.changing faster than ever before. New technologies emerge and jobs

:19:15. > :19:18.move in what seems like the brink of an eye. This is opening up

:19:19. > :19:23.opportunities for some but is leaving too many people behind also.

:19:24. > :19:29.Yet our response to global change cannot simply be to hold up a mirror

:19:30. > :19:38.to anger and despair. That leads nowhere and does not create a single

:19:39. > :19:43.job opportunity. Neither should we try to keep people has the chance to

:19:44. > :19:45.fulfil their potential, it must be at the heart of our response to

:19:46. > :19:47.globalisation also. The world is changing faster than ever before.

:19:48. > :19:50.New technologies emerge and jobs move in what seems like the brink of

:19:51. > :19:52.an eye. This is opening up opportunities for some but is

:19:53. > :19:55.leaving too many people behind also. Yet our response to global change

:19:56. > :19:57.cannot simply be to hold up a mirror to anger and despair. That leads

:19:58. > :20:00.nowhere and does not create a single job opportunity. Neither should we

:20:01. > :20:02.try to keep people we can somehow turn back the clock, because we

:20:03. > :20:05.cannot stop or the huge changes we are seeing in China, India, or

:20:06. > :20:07.chance, no grievance. We should not shy away from change but instead

:20:08. > :20:09.equip people with the skills, knowledge, chances, and choices in

:20:10. > :20:12.life to make change work for them. There are three priorities I think

:20:13. > :20:14.the government should focus on. First, early years. When poor

:20:15. > :20:16.children as my honourable friend says, we must be the champions of

:20:17. > :20:18.chance, no grievance. We should not shy away from change but instead

:20:19. > :20:21.equip people with the skills, knowledge, chances, and choices in

:20:22. > :20:23.life to make change work for them. There are three priorities I think

:20:24. > :20:32.the government should focus on. First, early years. When poor

:20:33. > :20:37.children... I children... I will give money devoted to this new

:20:38. > :20:41.policy would be better spent on early years intervention. I

:20:42. > :20:45.completely agree with my right honourable friend. There is nothing

:20:46. > :20:52.economically credible about paying more for problems that could be

:20:53. > :20:55.prevented, and having a genuinely long-term economic policy means

:20:56. > :21:00.prioritising early years. We should make it a national mission that

:21:01. > :21:06.every child starts school ready to learn. If the Prime Minister really

:21:07. > :21:08.wants a country that works for everyone in recent years the money

:21:09. > :21:10.devoted to this new policy would be better spent on early years

:21:11. > :21:12.intervention. I completely agree with my right honourable friend.

:21:13. > :21:14.There is nothing economically credible about paying more for

:21:15. > :21:16.problems that could be prevented, and having a genuinely long-term

:21:17. > :21:18.economic policy means prioritising early years. We should make it a

:21:19. > :21:20.national mission that every child starts school ready to learn. If the

:21:21. > :21:32.Prime Minister really wants a country that works for everyone she

:21:33. > :21:34.should scrap tax cuts for the wealthiest few and put the money

:21:35. > :21:36.into transforming early years services instead. All the evidence

:21:37. > :21:37.shows that strong leadership and great teachers make the biggest

:21:38. > :21:40.difference in improving attainment for disadvantaged children. For poor

:21:41. > :21:42.pupils the difference between a good teacher and a poor teacher is a

:21:43. > :21:44.whole year of they cannot wait and we should not let them. The

:21:45. > :21:49.government should focus relentlessly on getting the best headteachers

:21:50. > :21:51.into the most new incentives should also be trialled like writing of a

:21:52. > :22:10.proportion of teacher's students loans.

:22:11. > :22:17.I also think the government should look at trying a new help to buy

:22:18. > :22:26.scheme for teachers to help them move to areas with struggling

:22:27. > :22:30.schools. Finally, we must transform vocational education to equip people

:22:31. > :22:36.with the skills they need to succeed in the global economy. Britain has

:22:37. > :22:41.nowhere near enough apprenticeships of high enough quality focusing on

:22:42. > :22:46.the skills our country really needs. Two thirds of the apprenticeships

:22:47. > :22:51.created in recent years were only at level two or GCSE equivalent and

:22:52. > :22:58.three quarters of people aged over 25 who are already in work got them.

:22:59. > :23:03.This is in stark contrast to people in Germany which has much higher

:23:04. > :23:10.levels of participation and 90% of apprenticeships last three or four

:23:11. > :23:16.years and are higher graded. They need to create up to 300,000 quality

:23:17. > :23:19.apprenticeships at level three or higher every single year. They

:23:20. > :23:27.should focus on areas with the biggest skill gaps, help more small

:23:28. > :23:31.firms take part with minimal bureaucracy, and ensure young people

:23:32. > :23:37.can move from vocational to academic qualifications and vice versa at

:23:38. > :23:45.every stage post 16. When I visit schools in my constituency, I see

:23:46. > :23:48.the energy, hope and enthusiasm in the children's' eyes, but I know the

:23:49. > :23:53.cards are stacked against them before they have even begun in a

:23:54. > :23:58.world that is now so unforgiving of people without skills. It is my job

:23:59. > :24:02.and all of our job is to break down the barriers to their success.

:24:03. > :24:07.Expanding grammar schools is not the answer and will do nothing to

:24:08. > :24:15.address the very real challenges created by globalisation. The

:24:16. > :24:20.government must think again. I am a conservative because I believe

:24:21. > :24:23.fiercely in aspiration and it does not matter where you start in life

:24:24. > :24:28.or what your parents did or how wealthy your family is. You can

:24:29. > :24:32.achieve your dreams and improve your life through your own endeavours,

:24:33. > :24:39.your dedication and through an attitude of service and community.

:24:40. > :24:43.That for me is real compassion. It is no more abundantly clear than in

:24:44. > :24:47.relation to the educational policies and achievements of this government

:24:48. > :24:54.and on this side of the House. But if we look at the evidence, the side

:24:55. > :25:00.opposite has no grounds to complain because when Labour left office in

:25:01. > :25:02.2010, two in five children were leaving secondary school

:25:03. > :25:08.functionally illiterate or not numeric. In a country where we have

:25:09. > :25:14.some of the best schools in the world that is an unacceptable

:25:15. > :25:18.scandal. Employers had lost confidence in exams because of grade

:25:19. > :25:23.inflation and kids were left to catch up when they got to

:25:24. > :25:27.university. Thanks to the bold reforms on structures and standards

:25:28. > :25:34.progress has been made. The free schools movement has reinvigorated

:25:35. > :25:36.the teaching profession to inject innovation and allowed teachers and

:25:37. > :25:42.schools to provide the standards that they want in their community.

:25:43. > :25:48.Prior to my election to Parliament I co-founded and now chair one of the

:25:49. > :25:52.early free schools called Michaela community School in Wembley. We are

:25:53. > :25:57.now in our third year of opening and it is a secondary school in a

:25:58. > :26:02.rundown part of London. Pupils come from a wide range of backgrounds.

:26:03. > :26:07.40% are Afro-Caribbean and more than 50% are on the pupil premium. Nearly

:26:08. > :26:12.half speak English as a second language and one in five has special

:26:13. > :26:17.educational needs. One third started with the reading age below their

:26:18. > :26:20.chronological age and many have been thrown out of their previous

:26:21. > :26:26.schools. But our philosophy of an academically rigorous curriculum,

:26:27. > :26:31.high expectations and zero tolerance on behaviour has proved popular with

:26:32. > :26:34.children and parents in the area. Every child is treated as though

:26:35. > :26:41.they have the potential to get to Oxbridge even if some enter with low

:26:42. > :26:48.attainment and poor behaviour. We have children who make up five years

:26:49. > :26:50.of in one year. That is because of our invigorated teachers, innovation

:26:51. > :26:57.in teaching and the standards we apply. Our teachers recently

:26:58. > :27:04.published a book about what makes Michaela excellent. I will read a

:27:05. > :27:08.story about one of our pupils. Last September, Corey joined Michaela. He

:27:09. > :27:13.is black, has special education and lives on an estate. His father was

:27:14. > :27:17.absent. His primary school said he was the worst behaved child they had

:27:18. > :27:26.ever seen. We invited him into Michaela. We are a very inclusive

:27:27. > :27:30.school. My headmistress explained to Corey's mother how the school works.

:27:31. > :27:34.We have silent classrooms with hard-working children learning more

:27:35. > :27:47.than anyone could have imagined possible. I point to our silent and

:27:48. > :27:52.ordinary and ordinarily corridors. It works because we do not pander to

:27:53. > :27:59.every parental whim, making exceptions in order to accommodate.

:28:00. > :28:03.Could you tell me whether it is the case whether they focus on the

:28:04. > :28:09.quality of teaching which is so important for high achievement in

:28:10. > :28:14.schools? It is exactly about the quality of teaching that has made

:28:15. > :28:18.the difference to Corey's life. He is one of our extraordinary

:28:19. > :28:25.successes. He has progressed in reading and numeracy and is

:28:26. > :28:26.transformed in his behaviour. It is quality of teaching and high

:28:27. > :28:33.expectations that make the difference to our children. Would

:28:34. > :28:38.she agree with me that quality teaching does not need to take place

:28:39. > :28:44.within the confines of a grammar school? It can take place within a

:28:45. > :28:49.quality comprehensive? Quality teaching is what makes the

:28:50. > :28:55.difference. Empowered heads, it impassioned teachers, high standards

:28:56. > :28:59.and rigour and that is what is working in our schools and that is

:29:00. > :29:04.why we have seen progress. I pay tribute to the Minister for schools

:29:05. > :29:08.because he has focused relentlessly and tirelessly on phonics for

:29:09. > :29:17.example. By introducing a phonics test in 2012 we have seen hundreds

:29:18. > :29:23.of what children achieving basic literacy enabling them to enjoy

:29:24. > :29:27.reading. We have seen a rigorous curriculum that is raising standards

:29:28. > :29:30.for thousands of children around the country and that makes a difference

:29:31. > :29:34.and it is this party that is standing up and calling out low

:29:35. > :29:39.standards. In terms of our structures and standards, this party

:29:40. > :29:44.has made a massive difference and is trying to remedy the failures of the

:29:45. > :29:48.Labour Party that left education in 2010. When it comes to grammar

:29:49. > :29:54.schools they have got it wrong again. What parents and pupils like

:29:55. > :29:59.in those grammar schools is exactly the point made by my honourable

:30:00. > :30:04.friend, it is high quality teaching, high standards, zero tolerance on

:30:05. > :30:07.behaviour, cultivation of an environment where study is valued

:30:08. > :30:13.and confidence is engendered. That is what works in schools. Why does

:30:14. > :30:17.the Labour Party want to curb that and restrict a whole generation of

:30:18. > :30:21.children from accessing excellent schools? They should be ashamed of

:30:22. > :30:28.themselves and they should support this policy as much as they can.

:30:29. > :30:34.Thank you, Mrs Deputy Speaker. The question we are trying to answer is

:30:35. > :30:39.if you are talented, can you succeed in modern Britain? Why does it

:30:40. > :30:43.matter if you cannot? I think we should be unashamedly selfish about

:30:44. > :30:46.social mobility. Living in a country where more people can achieve their

:30:47. > :30:52.potential means they are more likely to do things that help us all.

:30:53. > :30:57.Whether they become doctors, entertainers or even MPs. When

:30:58. > :31:04.brains, not birth forms the basis of achievement, we all benefit. Today

:31:05. > :31:07.in my short contribution I want to take up the challenge of the member

:31:08. > :31:15.for Bradford who talked about the repetition of an this debate.

:31:16. > :31:20.Focusing on schools and education in itself is not enough. We have to

:31:21. > :31:25.address the divisions around access to finance and networks. We have to

:31:26. > :31:30.address the fact it is the bank of mum and dad and all that it offers

:31:31. > :31:34.both in terms of cash and connections that increasingly makes

:31:35. > :31:39.a difference to social mobility in our modern world. We miss a trick if

:31:40. > :31:45.we do not think about those things. Education too often drives out

:31:46. > :31:51.people and money and privilege have a big hand in that. It is not just

:31:52. > :31:57.about academic talent, it is about creative talent as well wear the

:31:58. > :32:04.same patters are clear in acting and sport, with the exception possibly

:32:05. > :32:10.of music. We know our young people have the X Factor. We have to

:32:11. > :32:15.understand the barriers they face in this post Brexit, low growth world

:32:16. > :32:19.which means they will hold several different jobs in their lifetime,

:32:20. > :32:24.two of which have not yet been invented. It is in that environment

:32:25. > :32:31.that understanding where access to finance makes the difference. It is

:32:32. > :32:37.not just catchment areas, but the options for families to be able to

:32:38. > :32:43.subsidise their children. It is also about understanding in today's

:32:44. > :32:47.disruptive world have the back of mum and dad can be the option

:32:48. > :32:55.between taking the leap between one carrier and the next. We cannot

:32:56. > :32:58.afford to ignore this challenge. Where previous generations sought to

:32:59. > :33:05.ensure their children could advance up the ladder, the next generation

:33:06. > :33:10.have to access multi-ladders. Many are being taken away just as they

:33:11. > :33:15.are being created. They need the contacts and the confidence to get

:33:16. > :33:18.their foot through many doors. One great hope for us should be the

:33:19. > :33:25.entrepreneurship amongst young adults. What do we have to offer to

:33:26. > :33:31.them? Whether you are educated at University or want to start a new

:33:32. > :33:36.business, the bank of mum and dad offers not just money, but contacts

:33:37. > :33:41.and networks in a world where access to internships of unpaid experience

:33:42. > :33:46.all too often do not have defined outcomes. It is time for us to ask

:33:47. > :33:51.how we ensure 100% of all 18 numerals can take out a loan for the

:33:52. > :33:57.pathway they want to take. We have to make sure every child has access

:33:58. > :34:01.to that internship opportunity, not just those with parents who can get

:34:02. > :34:09.them in the door. We have to ask why the last government got rid of the

:34:10. > :34:12.Child trust fund. Michael Young talk about a meritocracy and that is why

:34:13. > :34:18.grammar schools are such an outmoded way of thinking. The future will be

:34:19. > :34:22.about those many doors that we want children to walk through and to make

:34:23. > :34:27.sure that the bank of mum and dad is open to every single young person,

:34:28. > :34:35.not just the few. We have to reduce the time limit to three minutes.

:34:36. > :34:39.Social mobility for me is one of the most fundamental objectives of an

:34:40. > :34:44.education system and a government. It runs deep in my veins. Last week

:34:45. > :34:52.I had to give a tribute to my father who very recently died and without

:34:53. > :34:57.his commitment to my education as somebody who, like my mother, left

:34:58. > :35:02.school at 16, I would not have had the opportunity to break free from

:35:03. > :35:06.the pattern of manual work, work in service or growing plants as he did.

:35:07. > :35:14.In fact, each morning when I leave my flat I see a friend letter from

:35:15. > :35:20.King George VI in 1943 to my great aunt Maud who worked as a maid in

:35:21. > :35:24.Buckingham Palace and I regard that in three generations someone from my

:35:25. > :35:29.family can move from being made to a member of Parliament is a function

:35:30. > :35:35.of the social mobility that should exist in our country. Before it is

:35:36. > :35:40.suggested that somehow being an MP is the summit of human achievement,

:35:41. > :35:44.I do not believe that is the case. But I do believe education is about

:35:45. > :35:49.choice and I want to address the core motivation behind those who

:35:50. > :35:58.scheduled the debate today that somehow grammar schools inhibit

:35:59. > :36:02.those choices that restrict social mobility to a chosen few whilst

:36:03. > :36:06.consigning children who go to non-grammars to a future without

:36:07. > :36:10.those opportunities. Education is not about the type of school, it is

:36:11. > :36:16.about instilling a fundamental belief in the Valley of hard work,

:36:17. > :36:22.it is about access to high-quality teaching, rigorous standards in

:36:23. > :36:26.education whatever of school. It is all about parental support and

:36:27. > :36:32.encouragement. My father passed his 11 plus and got some O-levels, but

:36:33. > :36:36.whereas his parents did not see the point of further study, his grandson

:36:37. > :36:41.sees a different focus as my sister and I tried to take advantage of

:36:42. > :36:46.every learning opportunity. Let's see that social education and

:36:47. > :36:50.mobility is not just a function of school type, but less value the

:36:51. > :36:54.framework, the teaching, and the resources.

:36:55. > :37:01.I want to challenge the notion of stigma. They believe that if you do

:37:02. > :37:04.not pass the 11 plus you are consigned to a different life

:37:05. > :37:09.trajectory. It is said by some that the child is labelled a failure.

:37:10. > :37:14.That is not my experience looking at the secondary schools in my I want

:37:15. > :37:17.to challenge the notion of stigma. They believe that if you do not pass

:37:18. > :37:19.the 11 plus you are consigned to a different life trajectory. It is

:37:20. > :37:22.said by some that the child is labelled a failure. That is not my

:37:23. > :37:32.experience looking at the secondary schools in my a very important point

:37:33. > :37:34.that the age of 11 should not be the cut-off point that defines the

:37:35. > :37:36.future of a child. Does he support the proposals that some colleagues

:37:37. > :37:39.have referred to this afternoon that there should be multiple entry

:37:40. > :37:41.points into any I totally welcome of academies, and the range of options

:37:42. > :37:44.that exist. There is a lot of mobility between those schools. A

:37:45. > :37:47.lot of transferring at sixth form. But it is also wrong, I think, to

:37:48. > :37:52.suggest we should have targets for work children go when they leave

:37:53. > :37:55.school and I welcome the value of academies, and the range of options

:37:56. > :37:57.that exist. There is a lot of mobility between those schools. A

:37:58. > :38:00.lot of transferring at sixth form. But it is also wrong, I think, to

:38:01. > :38:02.suggest we should have targets for work children go when they leave the

:38:03. > :38:04.target university. We need to work hard to generate parity of esteem

:38:05. > :38:06.for higher-level apprenticeships, vocational education, and all types

:38:07. > :38:09.of higher going to university. We need to work hard to generate parity

:38:10. > :38:10.of esteem for higher-level apprenticeships, vocational

:38:11. > :38:13.education, and all types of higher we should enable movement to these

:38:14. > :38:17.different settings and different schools for their sixth form is

:38:18. > :38:20.testimony to the enduring quality of their academic A-level offer. The

:38:21. > :38:23.fact that others choose the fact that so many young people go to

:38:24. > :38:25.grammar schools for their sixth form is testimony to the enduring quality

:38:26. > :38:28.of their academic A-level offer. The fact that others choose the sixth

:38:29. > :38:30.form is a reflection of how they provide for diverse needs that

:38:31. > :38:32.grammar schools do not suit sixth form is a reflection of how they

:38:33. > :38:42.provide for diverse needs that grammar schools do not suit every

:38:43. > :38:44.range of to my way of thinking we need to recognise that social

:38:45. > :38:48.mobility is achieved by embracing the broadest possible range that and

:38:49. > :38:55.the widest context we can provide for our young diversity, and the

:38:56. > :38:59.widest context we can provide for our young social mobility is an

:39:00. > :39:09.issue for the white working discuss in this it is an issue that we have

:39:10. > :39:11.failed to discuss in this and the GCSE benchmark last year. That

:39:12. > :39:13.isonly 32% of working class white British students receive free school

:39:14. > :39:28.meals and the GCSE benchmark last year. That and 47% of Pakistani

:39:29. > :39:32.students, all also receiving free school meals. This is because the

:39:33. > :39:37.educational attainment of white working class students has improved

:39:38. > :39:41.a much more slowly than almost any other ethnic group over the last ten

:39:42. > :39:47.years. I could take members of this House to the grammar schools next to

:39:48. > :39:52.my constituency and I will show you classes of young Tamil kids, first

:39:53. > :39:57.and second generation, and free school meals, because their parents

:39:58. > :40:00.understand the importance of education, and they live the

:40:01. > :40:07.immigrants dream, which many members in this House have shared and

:40:08. > :40:11.benefited from. But it is our own white working class kids who like

:40:12. > :40:17.not getting the benefit of that and the issue, I suggest, is so much

:40:18. > :40:24.bigger than the type of school. It exists for all social inputs. But

:40:25. > :40:27.what we do know from the education select committee report into

:40:28. > :40:34.underachievement of white working class kids is that going to a good

:40:35. > :40:39.school disproportionately affects poor white kids. And there are

:40:40. > :40:45.schools out there who are doing a brilliant job and who are changing

:40:46. > :40:51.lives. In so many cases members should have a look at the Harris

:40:52. > :40:57.Academy chain in south London. Last year 56% of white British students

:40:58. > :41:02.nationwide secured five they - C GCSEs. But in Harris, 65% of

:41:03. > :41:08.students secured the grades, just five years ago the school had been

:41:09. > :41:14.under special measures. Now, under the excellent leadership of a strong

:41:15. > :41:19.principle the school has undertaken quite an unimaginable trans

:41:20. > :41:23.formation, and Harris has a staggering 73% white British

:41:24. > :41:31.students securing these great. Yet again in the rate of success of the

:41:32. > :41:34.school is incredible. In 2008 only 17% of students achieved these

:41:35. > :41:42.grades but under the leadership of the principle the school is now

:41:43. > :41:46.judged outstanding by Ofsted. , the schools should be our ideals, not

:41:47. > :41:54.whether they are mainstream, grammar, or academies I am

:41:55. > :41:56.enormously grateful for the schools my constituency but also grateful

:41:57. > :42:05.for all those people who lead our schools and teach. I feel keenly the

:42:06. > :42:09.importance of everybody, every child having a chance to succeed. I feel

:42:10. > :42:14.it never more than when I visit schools in my constituency or when

:42:15. > :42:18.dropping off my children at school. When you see those faces in the

:42:19. > :42:23.playground or lined up in assembly, full of hope and potential. The

:42:24. > :42:28.question today is how we best nurture that potential and enable

:42:29. > :42:32.every child to make the most of their talents. From preschool

:42:33. > :42:36.through primary school, secondary School, further education, every

:42:37. > :42:40.stage is an opportunity, but indeed at every stage there is a risk that

:42:41. > :42:45.some children may do relatively less well but a fear of difference in

:42:46. > :42:53.results must not try policy as I fear it does for those opposite.

:42:54. > :42:55.There is a clear consensus in the House about the importance of

:42:56. > :42:59.preschool and early years education, the importance of primary school.

:43:00. > :43:03.And progress is being made in those areas, particularly standards in

:43:04. > :43:07.primary schools. But there's more to do and particularly so that children

:43:08. > :43:09.who arrive already with good language skills in their first

:43:10. > :43:16.language, which is not at moment always the case. But today we are

:43:17. > :43:20.talking primarily about selection, opposition MPs have been attacking

:43:21. > :43:24.academic selection. Oddly they attack it but not any other forms of

:43:25. > :43:28.selection. They have not countered the point about why they are happy

:43:29. > :43:32.with selection for sport or arts. And they do not make it clear where

:43:33. > :43:37.they stand on existing grammar schools, they appear to have a

:43:38. > :43:41.pretty confused policy. I represent a constituency where we have

:43:42. > :43:45.excellent grammar schools and they are extremely popular with parents,

:43:46. > :43:50.so I would ask the members opposite to listen to parents who like those

:43:51. > :43:54.schools and understand why. There has been a significant

:43:55. > :43:58.misinformation put out about the achievement in the education system

:43:59. > :44:03.in Kent, children there achieve above national average in GCSEs, the

:44:04. > :44:07.system does well, and we know that within that system children on low

:44:08. > :44:12.incomes, free school meals, pupil premium, are arguing especially well

:44:13. > :44:16.to enable our children to make up the gap between themselves and other

:44:17. > :44:20.children with greater advantages. I will give way. Can she inform the

:44:21. > :44:26.House of what proportion, what amount of children who go to grammar

:44:27. > :44:29.schools, go on to university, or Russell group universities? We know

:44:30. > :44:33.children are more likely to go to Russell group universities if they

:44:34. > :44:37.attended grammar schools but also in Kent we see an increasing number of

:44:38. > :44:42.children who have received pupil premium, attending grammar schools.

:44:43. > :44:55.So Kent is working at widening access.

:44:56. > :44:59.I welcome the points in the government Green paper to widen

:45:00. > :45:01.access so that more children have a chance to attend excellent grammar

:45:02. > :45:03.schools. One of the critical things is whether primary school head

:45:04. > :45:05.teachers support their pupils in getting into grammar schools.

:45:06. > :45:07.Schools that do make a huge different, those that don't, that is

:45:08. > :45:11.a huge disadvantage to the children. So I would like to see children

:45:12. > :45:15.supported to go to the best school for themselves. We also have a

:45:16. > :45:19.grammar schools that favour in their admissions criteria children on low

:45:20. > :45:23.incomes and do an outreach to make sure the children who have the right

:45:24. > :45:28.academic potential to do well in grammar schools get a place and make

:45:29. > :45:33.the most of that potential. I would like to emphasise, where we see

:45:34. > :45:38.selective and nonselective schools working so well together if they are

:45:39. > :45:41.part of a trust, an excellent example of that is the Invicta

:45:42. > :45:47.trust, I would encourage the Secretary of State to visit, so she

:45:48. > :45:51.can visit a comprehensive School and a grammar school in one go and see

:45:52. > :45:57.what excellent results both of them are getting for their pupils. Before

:45:58. > :46:01.I conclude I should mention the importance, underlying all of this,

:46:02. > :46:06.of high quality teaching, something that academies and grammar schools

:46:07. > :46:13.are doing so well. Making sure that all the children who go to those

:46:14. > :46:17.schools can truly succeed. I want to thank you for the opportunity to

:46:18. > :46:23.speak in this vital debate, it gives to the heart of how we grow and

:46:24. > :46:27.shared prosperity for all. We live in a divided nation and those

:46:28. > :46:31.divisions are becoming deeper and more entrenched. Children in this

:46:32. > :46:36.country should feel they have a society and a government that is on

:46:37. > :46:41.their side. Poverty is on the increase and social mobility has

:46:42. > :46:44.stalled. I want to share the perspectives from my constituency. A

:46:45. > :46:53.dose of reality for what life is like on the ground. The lives of

:46:54. > :46:58.thousands of young people are being blighted by family poverty. And low

:46:59. > :47:03.educational attainment of inflows from family stress. Schools which

:47:04. > :47:06.can and should be engines of opportunity and mobility are

:47:07. > :47:12.themselves struggling and now find themselves a feeling that welfare

:47:13. > :47:16.gap. I want to highlight the number of schools in my constituency who

:47:17. > :47:19.have helped with research on how we can come together as a local

:47:20. > :47:22.community to support them much more as they struggle, in particular

:47:23. > :47:27.Cranford community college, Spring West Academy, and reach academy. The

:47:28. > :47:32.social mobility commissions report last week was a grim read. Britain

:47:33. > :47:41.has a deep social mobility problem which is getting worse. According to

:47:42. > :47:45.the commission and those born in the 1980s are the first generation since

:47:46. > :47:50.the Second World War to not start their careers with higher incomes

:47:51. > :47:55.than their parents and immediate predecessors. We also know that more

:47:56. > :47:59.than one third of our young people nationally, and the same in

:48:00. > :48:04.Hounslow, in my constituency, are leaving school without the

:48:05. > :48:10.equivalent of five good GCSEs. That is a matter of shame for us all.

:48:11. > :48:15.There are 900 people in Hounslow alone year. The recent conversation

:48:16. > :48:18.I had with head teachers about the impact of benefits changes and

:48:19. > :48:24.rising family poverty are giving way to consistent themes. A picture

:48:25. > :48:30.emerges of a family struggling to make ends meet, not always been able

:48:31. > :48:35.to afford food, children arriving at school hungry, stress, overcrowding,

:48:36. > :48:41.damp conditions, and an inability to work. And a rising family debt where

:48:42. > :48:44.parents must borrow money for school uniforms and shoes. One teacher told

:48:45. > :48:49.me that the school hand out money for shoes two or three times a day.

:48:50. > :48:53.There is no getting away from the fact that government cuts are making

:48:54. > :48:57.life harder for families and schools. The choices made by this

:48:58. > :49:01.government and the previous Chancellor show there can be no

:49:02. > :49:05.greater false economy than underfunding schools. It is time the

:49:06. > :49:13.government did more than just rhetoric. It is time to understand

:49:14. > :49:16.that it is the reality of the choices they make that are impacting

:49:17. > :49:19.on the lives and prospects of children across this country. I have

:49:20. > :49:21.sat for hours listening to one opposition member after another

:49:22. > :49:27.criticising government policies and try to offer a few policies of their

:49:28. > :49:31.own. The interesting thing for me is that not one opposition speaker has

:49:32. > :49:34.mentioned the fact that for the last 18 years they have been implementing

:49:35. > :49:40.the policies in another corner of the United Kingdom, where I come

:49:41. > :49:44.from, Wales, and in any reasonable comparison on the difference between

:49:45. > :49:48.education systems between England and Wales, England comes out on top,

:49:49. > :49:50.and I say that as a former Welsh comprehensive pupil with three

:49:51. > :49:56.children going through the state system in Wales at the moment. The

:49:57. > :50:01.comparisons are absolutely clear. Fewer teachers take time off for

:50:02. > :50:05.sickness than in Wales. More money per head is spent on pupils in

:50:06. > :50:09.England than in Wales. Children in England have a much better chance of

:50:10. > :50:14.getting into university, this headline from the BBC says, top

:50:15. > :50:20.grade A-level performance falls in Wales. That was only a month or two

:50:21. > :50:24.ago. Pupils have the best chance of getting into better universities and

:50:25. > :50:28.their first chance honours degree than in England and Wales. Why?

:50:29. > :50:32.Because in Wales Labour have followed the same outdated policies

:50:33. > :50:37.they are trying to suggest we impose in England. They scrapped testing.

:50:38. > :50:40.They don't like selection. They don't like classroom assessment

:50:41. > :50:43.because they think it puts teachers under pressure. And they don't want

:50:44. > :50:47.to give the choice that my honourable friend wants to give to

:50:48. > :50:53.parents in England. Nobody has to take my word for it. People can look

:50:54. > :51:01.at the Independent reports, the OECD organisation that works and

:51:02. > :51:03.education systems around the world, within the United Kingdom, which

:51:04. > :51:05.clearly shows England's doing far better than Wales. They can look at

:51:06. > :51:10.the recent report showing Wales is far behind England in areas such as

:51:11. > :51:14.English language. And if that does not convince them, neutral reports,

:51:15. > :51:18.they can listen to the former Labour education ministers in Wales

:51:19. > :51:24.themselves, who said, we have taken our eye off the ball. Or another

:51:25. > :51:28.education minister, a Labour education ministers in Wales, who

:51:29. > :51:32.issued an apology to the learners of Wales for his own government

:51:33. > :51:39.failure, because of their failed policies. The reality is that Labour

:51:40. > :51:44.members like to promise a nation fit from cradle to grave but as far as

:51:45. > :51:46.education is concerned they have delivered a failure from the nursery

:51:47. > :52:06.to the bursary. I will give way. He is painting a bleak picture of

:52:07. > :52:10.education in Wales. Those quotes are some considerable years out of date

:52:11. > :52:14.and in the last five years significant improvement has been

:52:15. > :52:21.made in GCSE and A-level results and the gap has closed significantly. I

:52:22. > :52:27.notice he says the gap has closed, he did not say that Wales is doing

:52:28. > :52:32.any better than England. One of the newspaper headlines are referred to

:52:33. > :52:37.was only a couple of months old. There are still very many problems

:52:38. > :52:43.there. The reality is that in England we have rejected this sort

:52:44. > :52:46.of left wing, anti-selection, anti-testing, anti-choice dogma

:52:47. > :52:50.which Labour have been following since the 1960s and which is

:52:51. > :52:57.completely out of date. That is why we are going to bring high standards

:52:58. > :53:00.to pupils in England and Wales. It is why Labour members did not want

:53:01. > :53:05.to talk about their failure in Wales. It is why they are having to

:53:06. > :53:10.apologise to their own constituents by their own failures and it is why

:53:11. > :53:15.the members of the public know that this government can be trusted on

:53:16. > :53:22.education, the economy, defence and law and order. We have put public

:53:23. > :53:27.services at the heart of our agenda and will continue to do so and will

:53:28. > :53:31.proudly shout from the rooftops at the enormous successes we have

:53:32. > :53:38.delivered in terms of education and health in public services for the

:53:39. > :53:44.people of England. The evidence and the adverse effects of poverty on

:53:45. > :53:48.educational attainment and achievement is undeniable. My own

:53:49. > :53:52.constituency has one of the highest child poverty rates in Scotland. In

:53:53. > :53:59.some parts one of three children live in poverty. Data shows children

:54:00. > :54:03.living in poverty are much more likely to face social, emotional and

:54:04. > :54:07.behavioural differences, be overweight and to have multiple

:54:08. > :54:13.problems and all these factors will have an impact on future levels of

:54:14. > :54:17.attainment and achievement. Poverty ruins childhood. I am proud of the

:54:18. > :54:20.Scottish Government is focusing on closing that attainment gap and the

:54:21. > :54:28.First Minister has made education a priority. Higher proportion of

:54:29. > :54:36.entrance to Scottish universities are from our poorer communities. The

:54:37. > :54:42.gap between the most and least deprived communities has reduced.

:54:43. > :54:47.Part of this is down to the fantastic work of many of our

:54:48. > :54:51.universities and colleges that are working on positive routes into

:54:52. > :54:58.higher education. I would like to pay tribute to the Ayrshire College,

:54:59. > :55:03.and the University of the West of Scotland, all have campuses in my

:55:04. > :55:08.constituency. They have encouraged and supported students in the

:55:09. > :55:12.transitioning between further and higher education. But more needs to

:55:13. > :55:18.be done and more is being done. When you see the attainment gap starting

:55:19. > :55:25.long before children get to school, it is clear we need to focus on

:55:26. > :55:28.early learning. Whilst the UK Government pursues grammar schools,

:55:29. > :55:33.the Scottish Government is making sure that each child has access to

:55:34. > :55:40.the same opportunities. Does she agree with me that the education

:55:41. > :55:44.system in Scotland which prioritises the ability to learn, not the

:55:45. > :55:52.ability to pay, enables more children to go to university as

:55:53. > :55:57.opposed to the English system? Absolutely, I agree with what she is

:55:58. > :56:02.saying. Our curriculum is combining academic excellence with the

:56:03. > :56:06.attitude and skills for success and giving young people the opportunity

:56:07. > :56:11.to gain vocational qualifications without them being perceived as

:56:12. > :56:17.second best. We are making sure every child has the ability to

:56:18. > :56:22.pursue their full potential. We are working hard to improve life

:56:23. > :56:27.chances, but ultimately our efforts are tackling the symptom and not the

:56:28. > :56:30.cause of inequality. The Prime Minister says our government is

:56:31. > :56:36.committed to fighting injustice wherever it arises. Poverty has a

:56:37. > :56:41.devastating impact on the lives of young people in the UK. We live in a

:56:42. > :56:47.society where the rich enjoy the trappings of wealth and the Pru rely

:56:48. > :56:51.on charities. This government is driving people further into poverty

:56:52. > :56:56.while offering to siphon a few of the brightest put kids for a place

:56:57. > :57:04.in grammar schools and pretending this is equality. Finally, a two

:57:05. > :57:12.tier system is totally unacceptable. In January this year, the opening

:57:13. > :57:16.ceremony of the new ?25 million new academy was cancelled because the

:57:17. > :57:20.teachers were strike. The same day a window cleaner came to my surgery

:57:21. > :57:24.and said he could not send his bright sun to the local grammar

:57:25. > :57:28.school in Gainsborough across the border in Lincolnshire because he

:57:29. > :57:33.could not afford the ?400 it would cost to get him there every day.

:57:34. > :57:39.This year 55% of the children in my town are going out of town to

:57:40. > :57:44.school, the 50% who can afford it, not the 50% who might need it the

:57:45. > :57:49.most. It is no coincidence that new work and Sherwood as a district has

:57:50. > :57:54.amongst the lowest levels of social mobility anywhere in the United

:57:55. > :57:57.Kingdom. The story of our secondary schools is a near complete

:57:58. > :58:03.description of the failures of our state schools since the 1960s. The

:58:04. > :58:08.destruction of a successful grammar school established in 1531, the

:58:09. > :58:13.pre-emption of places at the good schools in the neighbouring better

:58:14. > :58:18.off towns with articulate parents with the resources to work the

:58:19. > :58:20.system to their advantage and can afford the cost of travel to them

:58:21. > :58:26.because the options were not available to them in their own town.

:58:27. > :58:30.The flight of middle-class parents to Lincolnshire for grammar schools

:58:31. > :58:37.where one needs 500 to ?1000 a year to bust your child to the school.

:58:38. > :58:43.The toleration of failure, or at least consistent underperformance,

:58:44. > :58:49.with a great deal of complacency with lines like, what do you expect?

:58:50. > :58:53.It is only new work. The gradual decline in aspiration and a

:58:54. > :58:57.pervasive culture of low expectations, the kicking away of

:58:58. > :59:01.the ladder out of ignorance and poverty by neglect and complacency

:59:02. > :59:07.dressed up as egalitarian, progressive educational policy. Will

:59:08. > :59:13.my honourable friend agree that this culture of low expectation, this

:59:14. > :59:18.self bigotry is exactly what needs to be changed and what this

:59:19. > :59:21.government stands up against? I could not agree more. In Newark

:59:22. > :59:28.social inequality is not the problem, it is the symptom of a real

:59:29. > :59:33.malaise. The condition of education in this town has been allowed to

:59:34. > :59:38.reach an appalling level. In diagnosing the problem there are

:59:39. > :59:41.many solutions. A lack of choice of school, an unwillingness to

:59:42. > :59:47.intervene and an unwillingness to embrace selection in any form even

:59:48. > :59:52.when parents are crying out for it. In my town, armed with a range of

:59:53. > :59:57.tools under this government, we are starting to make progress and I am

:59:58. > :00:01.convinced we have finally turned the corner. We have intervened to remove

:00:02. > :00:06.the Academy sponsor which was not working and brought in a number one

:00:07. > :00:11.school in the county to run the school thanks to a conservative

:00:12. > :00:16.policy. Next year in September we will open a new free school in

:00:17. > :00:21.Newark which I have the leisure of being a governor of. The school will

:00:22. > :00:24.be committed to the highest standards of education, discipline

:00:25. > :00:28.and committed to repatriating parents from across the county who

:00:29. > :00:34.have had to send their children away. The dioceses that runs the

:00:35. > :00:38.other school in the town, the Magnus, have now increased their

:00:39. > :00:42.commitment to driving up standards, driven by the competition and choice

:00:43. > :00:47.that we are now putting into the system. The apprenticeship level is

:00:48. > :00:51.forcing a long overdue conversation between the employers in the town

:00:52. > :00:57.and the schools. The common thread that runs through all these policies

:00:58. > :01:01.is parental choice. Parents in my town want the choice to send their

:01:02. > :01:10.children to the school that suits them and their needs and not to be

:01:11. > :01:12.told by others that only a privileged few who can afford the

:01:13. > :01:18.bus fare or the fees at the private school deserve it. I do not want to

:01:19. > :01:23.repeat the many points made by members. I would like to indulge in

:01:24. > :01:28.a moment of pedantry. The subject of this debate is social mobility and

:01:29. > :01:33.it is not a one-way ticket, you can go up or down. There was a lot of

:01:34. > :01:38.social mobility in the great depression and most of it downwards.

:01:39. > :01:43.The happiest societies are not necessarily those with the greatest

:01:44. > :01:48.level of social mobility. Secondly, many of those who go on about social

:01:49. > :01:55.mobility are quiet on the subject of social inequality. The assumption is

:01:56. > :02:00.it is acceptable as long as there is some level of social mobility. I

:02:01. > :02:06.have a problem with that assumption. It is easier in some ways to court

:02:07. > :02:11.it a wider distribution opportunity than a wider distribution of wealth

:02:12. > :02:19.even if there is some evidence that societies without vast differences

:02:20. > :02:22.in wealth are happier. But vast differences in wealth between

:02:23. > :02:28.individuals in modern societies are growing. When we examined the wage

:02:29. > :02:33.ratios of those at the top and the bottom of businesses compared to the

:02:34. > :02:38.60s and 70s, we can see this happening. It is hard to believe

:02:39. > :02:43.this is due to some sort of super talent, which is why we should all

:02:44. > :02:48.worry that hard-working people, the less talented in an affluent society

:02:49. > :02:53.cannot gain a decent standard of living where people are struggling

:02:54. > :02:58.in a gig economy with poorer housing prospects and living hand to mouth,

:02:59. > :03:04.even if there is some prospect of social mobility. Education, no

:03:05. > :03:09.matter how good, cannot make us all talented and cannot give us all the

:03:10. > :03:14.same life chances. Even to improve those chances it is not sufficient

:03:15. > :03:19.at times. Often we need cultural changes that go beyond the child,

:03:20. > :03:23.changes in the community, the parents and the society. Housing and

:03:24. > :03:30.economic growth, low crime rates, local empowerment, are all key

:03:31. > :03:36.determinants of mobility and social aspiration in any area. Education by

:03:37. > :03:43.it self is rarely sufficient, which is probably why, despite many

:03:44. > :03:46.schemes and many millions spent in education, we failed to produce

:03:47. > :03:53.across-the-board improvements. Yes, it is possible for educational

:03:54. > :03:57.achievement, but we are second bottom in the league for deprivation

:03:58. > :04:01.and there is a connection somewhere. I have heard it said that the magic

:04:02. > :04:09.ingredient we need here is a grammar school, middle-class, Tiger parents

:04:10. > :04:14.want this. I have heard it said that Knowsley has never had a grammar

:04:15. > :04:19.school. That is false, it pioneered a comprehensive education and I had

:04:20. > :04:26.the privilege of going to a grammar school in Knowsley. The grammar

:04:27. > :04:33.school recipe has been tried. It did not produce a noticeable result.

:04:34. > :04:38.Thank you for calling me at the end of this debate. There is a gaping

:04:39. > :04:46.hole at the centre of the opposition case. If grammar schools are good,

:04:47. > :04:54.it is a good principle, why would they be opposed to losing them? On

:04:55. > :04:59.the contrary it is a bad idea and a bad principle, so why are they

:05:00. > :05:06.committed to abolishing them? Surely if it is good, then a cap or a ban

:05:07. > :05:11.is a crazy way to proceed in terms of widening opportunity and choice.

:05:12. > :09:17.If it is a bad idea, why should we allow them to exist? Why should we

:09:18. > :09:23.Which is why recent child care interventions are so important. On

:09:24. > :09:27.top of the childcare plans outlined by my honourable friend from Glasgow

:09:28. > :09:33.North West. Every nursery in the poorest local area is having an

:09:34. > :09:39.additional teacher or childcare place for 2018. And it was written

:09:40. > :09:44.announced that funding changes will be made to follow the child, another

:09:45. > :09:48.welcome intervention. Every child in Scotland will receive a baby box, a

:09:49. > :09:51.box of essential item to help level the playing field in the first days

:09:52. > :09:56.of their lives, starting mixture. But if we are serious about

:09:57. > :10:00.improving social mobility in helping along people the government must do

:10:01. > :10:04.more in other areas also. I hope the Autumn Statement will see a greater

:10:05. > :10:08.investment in good quality, affordable social housing, and we

:10:09. > :10:11.should also expect plans on how the UK Government will overturn the

:10:12. > :10:17.stagnation in average wages that we have seen since 2009. Education

:10:18. > :10:20.policy can help children out of poverty to some extent. But we

:10:21. > :10:25.cannot expect teachers to fix everything for us in this regard,

:10:26. > :10:29.the real change will come when the government commits to addressing the

:10:30. > :10:36.causes of child poverty, low incomes, Social Security cards, and

:10:37. > :10:40.insecure work. Thank you for calling me during this debate. To me, the

:10:41. > :10:45.conundrum is how we break the grammar school system, is perhaps

:10:46. > :10:50.the preserve of the middle-class, but at the same time, we must not go

:10:51. > :10:55.backwards to what I recall the apartheid system that used to be in

:10:56. > :10:59.place. I reference that because I myself failed my 12 plus, as it was,

:11:00. > :11:06.and went to a secondary modern School, in a small town where there

:11:07. > :11:10.two schools, divided by a hedge. The state school was such that the

:11:11. > :11:14.siblings were unable to talk to each other across the hedge because the

:11:15. > :11:17.grammar school head would refuse to countenance it. You left school at

:11:18. > :11:21.16 and you were told by your teachers that there was little point

:11:22. > :11:27.going on to do A-levels because why would someone like you passed them?

:11:28. > :11:31.I ignored that advice and I am glad I did. I certainly wasn't a vote for

:11:32. > :11:41.a return of a grammar school system that takes us back to those days.

:11:42. > :11:43.Equally, we have a huge problem with grammar schools now been the

:11:44. > :11:46.preserve of a middle-class. Where I represent, in East Sussex, we ride

:11:47. > :11:49.on the border with Kent. In my daughter's primary school a quarter

:11:50. > :11:53.of the class move to the grammar school, leading to a brain drain

:11:54. > :11:59.from East Sussex. Those children will either go to a school that was

:12:00. > :12:02.based on ability, or -based, therefore only parents that can

:12:03. > :12:06.afford the increased House prices will see their children go to that

:12:07. > :12:12.school. Or a further school will be based on real pure ability. So only

:12:13. > :12:15.those parents that can afford the tuition, the rail fare, or indeed

:12:16. > :12:20.the prep school fees, to have got those children to school the first

:12:21. > :12:24.place, will be able to enjoy it. Therefore I would maintain that the

:12:25. > :12:30.current system does not work. Therefore, do we stick or twist? I

:12:31. > :12:38.was surprised by the opposition spokesperson's speech, I expected

:12:39. > :12:41.the opposition to state that the system does not work at all and

:12:42. > :12:43.should be abolished, because if they wish to continue with the status quo

:12:44. > :12:46.then the middle-class preserve is that which they are inadvertently

:12:47. > :12:50.supporting. So perhaps somewhat reluctantly I welcome the shift

:12:51. > :12:54.toward the government approach on expansion of grammar schools. The

:12:55. > :12:58.situation is so bad with social mobility that something must be

:12:59. > :13:02.done. Research in the last 50 years which I have spent the last couple

:13:03. > :13:05.of days reading through is completely inconclusive as to

:13:06. > :13:12.whether the competence of all the grammar system is better or worse.

:13:13. > :13:15.What is undeniable is that social mobility statistics are so bad that

:13:16. > :13:20.something must be done but I call on the front bench to consider that by

:13:21. > :13:22.creating more grammar schools, therefore perhaps turning his back

:13:23. > :13:27.to the towns with a choice of two schools, that we do not

:13:28. > :13:31.inadvertently moved back to a situation where it is either success

:13:32. > :13:37.or failure. It must be success for all regardless of the entrance

:13:38. > :13:41.tests. Thank you Madam Deputy Speaker. Last week in my capacity as

:13:42. > :13:48.the chair of the social mobility all parliamentary group are heard a

:13:49. > :13:52.damning indictment of the status quo, for too long we have been too

:13:53. > :13:56.ready to accept that those from poorer backgrounds proportionately

:13:57. > :14:00.do worse, for too long we have allowed privileged connections to

:14:01. > :14:04.override ability and potential, and for too long we have diluted

:14:05. > :14:09.ourselves that economic growth translate into increased prosperity

:14:10. > :14:12.and opportunity for all. Yes, let's invest in children for their early

:14:13. > :14:19.years, that a school system offering opportunity for all, but don't kid

:14:20. > :14:23.ourselves that will be enough if we still have a country where access to

:14:24. > :14:26.opportunities completely closed off to sections of society. The social

:14:27. > :14:30.mobility all-party Parliamentary group are conducting an enquiry and

:14:31. > :14:34.the report is due out soon and we have seen many similarities between

:14:35. > :14:38.the evidence we have heard and the commission findings. One such area

:14:39. > :14:42.was internships. Too often they are a way to get a foot in the door but

:14:43. > :14:48.not just that, the only way to open the door at all, they have become a

:14:49. > :14:52.further compulsory step into many professions, but by their very

:14:53. > :14:57.nature they exclude many. Too often these placements are determined by

:14:58. > :15:00.existing connections, family or business contacts, and a foot in the

:15:01. > :15:05.door is often available only to those who know someone on the other

:15:06. > :15:08.side of it. Another area where we found remarkably consistent evidence

:15:09. > :15:11.is in terms of young people's aspirations, they need role models

:15:12. > :15:15.and mentors from the community who have been there and done it to say

:15:16. > :15:23.to them, you can be whatever you want to be, but for too many it is

:15:24. > :15:25.simply not on the radar. The evidence I heard persuaded me it was

:15:26. > :15:28.simply not enough to encourage companies to do more, we must make

:15:29. > :15:32.sure social mobility is on a par with career prospects and rightly

:15:33. > :15:35.challenge things when minority sections do not get equal

:15:36. > :15:39.opportunities, so we should not do the same here, we cannot allow the

:15:40. > :15:42.situation to continue where your background is likely to be the

:15:43. > :15:46.biggest factor in determining your chances of success in life, I would

:15:47. > :15:51.like to see companies producing data every year on how many people they

:15:52. > :15:54.have recruited from the most disadvantaged backgrounds and

:15:55. > :15:59.crucially how many people who have addressed it in that company, we

:16:00. > :16:03.need a publicly available record as to what individual companies do,

:16:04. > :16:06.only then we would see the change in attitude we need, the UK stands

:16:07. > :16:10.alongside the USA is having the lowest social mobility of advanced

:16:11. > :16:14.nations and we only need to look across the Atlantic to see where

:16:15. > :16:19.ignoring these issues for successive generation leads, be in no doubt, we

:16:20. > :16:23.are heading the same way, I feel it when I speak to people, the anger,

:16:24. > :16:28.the frustration, the helplessness at the lack of opportunity around them,

:16:29. > :16:33.and they feel the same or worse for their children, automation and

:16:34. > :16:36.artificial intelligence will narrow the gap further in coming years, and

:16:37. > :16:43.we need to work further now before it is too late. We have had a good

:16:44. > :16:46.debate this afternoon but what is clear is that the government

:16:47. > :16:51.obsession with new grammar schools is simply a rehash of failed

:16:52. > :16:57.policies from the past, policy is not fit for purpose from the digital

:16:58. > :17:01.age in the 21st century, as pointed out by my friend from Manchester

:17:02. > :17:05.Central and the MP for Rochdale, pure dogma, as pointed out by the MP

:17:06. > :17:10.for Bradford South. The government has no answers to the real

:17:11. > :17:17.challenges facing our schools. While they waste time and energy on the

:17:18. > :17:19.new grammar schools they have nothing to say about falling school

:17:20. > :17:22.budget, a crisis in teacher recruitment, and the fact that

:17:23. > :17:28.there's not enough good school places. They would segregate our

:17:29. > :17:35.children. And our education for a privileged few. And a second-class

:17:36. > :17:38.education for rest. The member for Glasgow North West spoke

:17:39. > :17:42.passionately of her personal testimony of her father who failed

:17:43. > :17:47.the 11 plus. As for the number of Wolverhampton South East in his

:17:48. > :17:51.excellent speech, policies should be designed for tens of millions, not

:17:52. > :17:56.the few. I give way to my honourable neighbour, the MP for Altrincham

:17:57. > :18:00.south. I thank my friend and neighbour for giving way. Will he

:18:01. > :18:02.take the opportunity to make it clear, will a future Labour

:18:03. > :18:10.government scrap existing grammar schools or not? Yes or no? I always

:18:11. > :18:13.like to debate with my honourable neighbour, it was great that he was

:18:14. > :18:19.in my constituency visiting sale Grammar School just the other week,

:18:20. > :18:22.where I go in and speak to the children regularly, this current

:18:23. > :18:27.government is nationalising and privatising the current system at

:18:28. > :18:30.the same time, what Labour will do, and what the honourable members from

:18:31. > :18:35.the debate in the mid-90s should remember is that we will introduce a

:18:36. > :18:40.system of subsidiarity back into the education system and it will be to

:18:41. > :18:44.local people to decide, and we will not having nationalised system. I

:18:45. > :18:52.need to make progress. I have answered question. The front bench

:18:53. > :18:55.opposite have provided no evidence whatsoever of how extra grammar

:18:56. > :19:00.schools will increase social mobility of our young people. Issues

:19:01. > :19:05.more pronounced in the Midlands and the North, is the member rightly

:19:06. > :19:11.pointed out, and I cannot agree more. Let me be clear, citing

:19:12. > :19:17.evidence about access to Russell group universities is a complete red

:19:18. > :19:20.herring. A corrupt use of statistics, and failing to compare

:19:21. > :19:25.like with like. Let me provide evidence from the government's own

:19:26. > :19:29.Chief inspector. Sir Michael Wilshaw said that in Hackney the attainment

:19:30. > :19:34.gap between those eligible for free school meals and their colleagues is

:19:35. > :19:40.14%. In Kent, which retained a selective system, the member for

:19:41. > :19:47.Havisham and mid Kent is in her place, and the gap is 34%. In Kent,

:19:48. > :19:53.just 27% of pupils are eligible for free school meals and get five good

:19:54. > :19:58.GCSEs compared with 45% in London. The Institute for Fiscal Studies has

:19:59. > :20:03.said that those in selected areas who do not pass the 11 plus do worse

:20:04. > :20:09.than they would have done in a comprehensive system. Research by

:20:10. > :20:13.the education policy Institute has shown that once the data is

:20:14. > :20:20.controlled for prior performance Grammar schools do not actually

:20:21. > :20:22.improved results, even for students from disadvantaged backgrounds. The

:20:23. > :20:29.issue has divided the party opposite, for sure. Many senior MPs

:20:30. > :20:34.coming out against the plans. The minister currently working with a

:20:35. > :20:37.previous minister who did not want it and now working for a Secretary

:20:38. > :20:40.of State who does want it, and orders from the Prime Minister. And

:20:41. > :20:45.the former Secretary of State, who spoke eloquently in this debate,

:20:46. > :20:51.does not believe in it. My neighbour in altering, and sale West, he needs

:20:52. > :20:54.to remember that Trafford has an excellent primary school system, I

:20:55. > :20:57.taught many of your children, I will have you know, that is why you have

:20:58. > :21:04.such good results in your constituency! And the primary system

:21:05. > :21:09.isn't selective. Turning to social mobility, the honourable member for

:21:10. > :21:12.Feltham and Heston said, this will be the first generation since the

:21:13. > :21:17.Second World War that will be less well off than their parents. The

:21:18. > :21:22.government have failed to build an education system that provides

:21:23. > :21:26.opportunity for all. Under this government the system is mediocre

:21:27. > :21:30.and falling behind, as pointed out by the member for Dudley North. They

:21:31. > :21:35.are increasingly obsessed with structures, rather than what matters

:21:36. > :21:40.most, the quality of education for young people. We have scandal after

:21:41. > :21:44.scandal in our multi-Academy trusts, they cannot even get to grips with

:21:45. > :21:48.the structures they are putting into place. There is no effective

:21:49. > :21:55.governance, as the Department for Education creaks under the strain.

:21:56. > :22:02.Declining budgets and chronic shortages of teachers and places.

:22:03. > :22:07.They have failed to invest in our young people at every stage of their

:22:08. > :22:13.education. Schools are facing their first real-time cuts since the 90s.

:22:14. > :22:18.Spending on education has been cut time and time again and student debt

:22:19. > :22:23.continues to rise. The government policies are no more than a series

:22:24. > :22:28.of roadblocks against aspiration and social mobility. The impact of these

:22:29. > :22:35.policies is clear to all but government. 71% of state school

:22:36. > :22:41.students went on to university under a Labour of a man and last year it

:22:42. > :22:47.fell to 62%, down from 66% the year before. We remain fully committed to

:22:48. > :22:51.ensure all of our young people are given the opportunity to succeed in

:22:52. > :22:56.whatever educational path they choose and their opportunities are

:22:57. > :23:01.based on what they can aspire to and not on what they can afford. We will

:23:02. > :23:06.be fearless champions for every child as pointed out by the member

:23:07. > :23:12.for Leicester West. Figures published last week show for the

:23:13. > :23:17.third consecutive year school leaders, there is a complete problem

:23:18. > :23:23.with recruitment across all roles from teachers to senior leaders.

:23:24. > :23:29.Overall a very high proportion of posts were difficult to recruit two.

:23:30. > :23:36.62% recruited were filled with a struggle and respondents were unable

:23:37. > :23:39.to recruit to 17% of all posts. Recruitment difficulties for the

:23:40. > :23:46.middle leadership roles in schools are pronounced. For post teaching

:23:47. > :23:52.and learning and special educational needs, only 17% of roles were filled

:23:53. > :23:56.with ease. High housing and living costs remain a serious barrier to

:23:57. > :24:01.recruitment in London and the South East. The cost of living is becoming

:24:02. > :24:09.increasingly problematic nationally. There has been a 7% rise in school

:24:10. > :24:15.leaders citing this reason for the problems faced. Difficulties in

:24:16. > :24:18.recruiting means 41% of responding schools have had to cover lessons

:24:19. > :24:26.with senior leadership staff, 70% have had to use supply teachers at

:24:27. > :24:35.higher costs. I must make progress. Madame Deputy Speaker, I mentioned

:24:36. > :24:39.funding earlier. According... According to the National Union of

:24:40. > :24:43.Teachers and the Association of teachers and lecturers, as I said

:24:44. > :24:48.England are experiencing the largest real terms funding cuts in more than

:24:49. > :24:54.a generation. In real terms schools will lose a huge amount of money

:24:55. > :24:59.rising to 2.5 billion by the year 2020 and 92% of schools will have

:25:00. > :25:10.their funding cut. The average cut for primary schools will be 96,000,

:25:11. > :25:13.going up to secondary schools. The Secretary of State chanters from a

:25:14. > :25:19.sedentary position. There is a website she can go on and see this.

:25:20. > :25:24.Budgets are protected only in cash terms, rather than real terms,

:25:25. > :25:29.meaning schools budget is at the mercy of rising pressures, pupil

:25:30. > :25:32.numbers and inflation. Schools are now worried about being further

:25:33. > :25:37.punished with the fair funding formula that the government have yet

:25:38. > :25:44.to consult on. The Minister has refused to guarantee that no school

:25:45. > :25:53.will lose out. This amounts to chaos and confusion. I need to thank

:25:54. > :25:58.everybody who has contributed to the debate. I have not agree with

:25:59. > :26:03.everyone, the member for working on, the member for Croydon and south,

:26:04. > :26:09.the member for Fareham, Eddery and shots, Bexhill and Battle. The

:26:10. > :26:14.member for Ellesmere Port, can I wish him a happy birthday today. The

:26:15. > :26:19.member for Walthamstow, the member for Salisbury. I am sure the whole

:26:20. > :26:27.house joins with me in wishing his family all the very best on the loss

:26:28. > :26:31.of his father. I am sorry to hear that. Mitcham and Morden, the member

:26:32. > :26:39.for Monmouth who always effectively seems to run down his own country.

:26:40. > :26:43.The member for Carrick Cumnock, Europe and Spelthorne even. Madame

:26:44. > :26:47.Deputy Speaker, we have a government front bench team that require

:26:48. > :26:53.special measures, and government failing on the selection, failing on

:26:54. > :26:57.social mobility, failing on the recruitment and retention of

:26:58. > :27:08.teachers, failing to provide enough good school places and letting our

:27:09. > :27:13.future generation down badly. Madame Deputy Speaker, improving social

:27:14. > :27:17.mobility has been the driving force behind our reforms to the education

:27:18. > :27:20.system over the past six years and thanks to these reforms and the

:27:21. > :27:26.tireless work of hundreds of thousands of teachers there are now

:27:27. > :27:31.1.4 million now good or outstanding school places than in 2010. The

:27:32. > :27:35.government has given powers to teachers and heads to deal with

:27:36. > :27:40.disruptive behaviour. We have created the education endowment

:27:41. > :27:45.foundation to promote the use of evidence -based teaching practice.

:27:46. > :27:50.We have rewritten primary and secondary curriculum is to raise

:27:51. > :27:55.expectations and the focus has halted the drift away from those

:27:56. > :28:00.important core academic subjects, adrift that was particularly marked

:28:01. > :28:05.in areas of disadvantage. We have removed over 3000 so-called

:28:06. > :28:09.equivalent qualifications that too many children from disadvantaged

:28:10. > :28:14.backgrounds were being misled into taken instead of GCSEs and we have

:28:15. > :28:21.improved the quality of technical qualifications and promoted an

:28:22. > :28:26.improved the importance and status of apprenticeships, 624,000 starts

:28:27. > :28:31.since May 2000 and 15. We have revolutionised the teaching of

:28:32. > :28:35.reading in primary schools. Systematic synthetic phonics gives

:28:36. > :28:41.children a flying start with reading, writing and spelling.

:28:42. > :28:49.147,000 more year one pupils are on track to becoming full readers than

:28:50. > :28:54.in 2012. Despite improved practice and a growing number of good places,

:28:55. > :28:59.there are still parents who do not have a choice of a good school plays

:29:00. > :29:04.for their child. Fewer than half of pupils have a good or outstanding

:29:05. > :29:08.school within five kilometres of their home. As the Prime Minister

:29:09. > :29:11.said, if you are white, working-class boy you are less

:29:12. > :29:18.likely than anyone else in Britain to to university. White British boys

:29:19. > :29:23.on free school meals have now been either the lowest or second lowest

:29:24. > :29:27.performing ethnic group every year for a decade. This is why we are

:29:28. > :29:32.consulting on a range of measures to look at more ways to increase the

:29:33. > :29:37.number of good school places, serving communities that have yet

:29:38. > :29:41.fully to benefit from our reforms. We want the education system to help

:29:42. > :29:46.build an even more meritocratic Britain and we want to use the

:29:47. > :29:52.knowledge and expertise of our universities and independent schools

:29:53. > :29:57.to benefit our schools system. We want to remove restrictive

:29:58. > :30:05.regulations that remove pupils from going to the schools. Reintroducing

:30:06. > :30:11.Grammar schools is potentially a transformative idea for

:30:12. > :30:16.working-class areas. We know grammar schools are vehicles of social

:30:17. > :30:20.mobility for those pupils who attend them, almost eliminating the

:30:21. > :30:24.attainment gap between pupils from disadvantaged backgrounds and their

:30:25. > :30:33.peers. Pupils in grammar schools and make more progress compared to

:30:34. > :30:39.similar pupils. An aggregate score of 0.334 grammar schools compare to

:30:40. > :30:44.a national average of zero. 82% are rated as outstanding and in a school

:30:45. > :30:48.system were over 1 million pupils are not getting the education they

:30:49. > :30:53.need, it cannot be right to prevent more good and outstanding selective

:30:54. > :30:57.school places from being created. The key is to make the alternative

:30:58. > :31:03.schools just as good and that is what we are delivering. We recognise

:31:04. > :31:09.that grammar schools can do more to promote social mobility. Young

:31:10. > :31:15.people are six times less likely to go to Oxbridge if they grow up in a

:31:16. > :31:20.poor household. In the North East not one child on free school meals

:31:21. > :31:25.went to Oxbridge after leaving school in 2010 and yet of the state

:31:26. > :31:30.school pupils securing a place at Cambridge, 682 came from

:31:31. > :31:37.comprehensive schools and 589 from grammar schools, almost as many come

:31:38. > :31:42.from the 163 grammar schools as come from all the comprehensive schools

:31:43. > :31:46.put together. We know disadvantaged pupils from grammar schools are

:31:47. > :31:52.almost twice as likely to go to a top Russell group universities. The

:31:53. > :31:57.government is committed to ensuring this country works for everyone, not

:31:58. > :32:05.just a privileged few. Strict conditions apply to grammar schools,

:32:06. > :32:11.including ensuring more black pupils are admitted, we will introduce

:32:12. > :32:21.social mobility in Britain. I want to thank my honourable friend and I

:32:22. > :32:26.want to give my condolences to the death of my honourable friend's

:32:27. > :32:32.father. The honourable member for Glasgow North West let the cat out

:32:33. > :32:36.of the bag when she said the SNP's view is not just against grammar

:32:37. > :32:42.schools, but also against setting and streaming viability within a

:32:43. > :32:46.school. This is not within the mainstream opinion and it explains

:32:47. > :32:51.why attainment gaps have widened in Scotland. I listened carefully to my

:32:52. > :32:55.right honourable friend the member for Loughborough as I learned to do

:32:56. > :33:01.in the two years when she was my boss at the Department for

:33:02. > :33:05.Education. She is right, we have to tackle underperformers wherever it

:33:06. > :33:09.exists. She is right we have to ensure every child is being offered

:33:10. > :33:16.and academic common knowledge rich curriculum. We will take on board

:33:17. > :33:20.seriously representations made about the policies in the consultation

:33:21. > :33:26.document, including those that relate to selective education. My

:33:27. > :33:31.honourable friend, the member for Bexhill, made the point it is about

:33:32. > :33:35.making alternative schools just as good as the selective ones, a point

:33:36. > :33:40.made by the right honourable friend the member for Woking. Grammar

:33:41. > :33:44.schools and comprehensive schools can coexist together with both

:33:45. > :33:49.delivering a very high academic standards as we see in his

:33:50. > :33:54.constituency. Since 2010, more pupils have benefited from our core

:33:55. > :33:58.academic curriculum. Increased numbers of pupils have a good or

:33:59. > :34:03.outstanding school plays and parents have a wider choice of type of

:34:04. > :34:08.school for their children. But these opportunities have not yet been

:34:09. > :34:11.spread widely enough. We want to create a meritocracy where every

:34:12. > :34:17.child has access to an education that will take them as far as their

:34:18. > :34:22.talents will allow. That is why our consultation document is looking at

:34:23. > :34:29.every possible way to provide new, good schools, particularly in areas

:34:30. > :34:36.that need to improve. I worry about those will 1.25 million pupils. The

:34:37. > :34:40.time is now and it is why we need to do more than we have been doing over

:34:41. > :34:45.the past six years to improve education standards for those

:34:46. > :34:48.pupils. I worry about the social mobility commission's finding that

:34:49. > :34:55.not one pupil eligible for free school meals in the North East went

:34:56. > :35:00.to Oxbridge in 2010. I worry about the so-called missing talent, highly

:35:01. > :35:04.able pupils from disadvantaged backgrounds who leave primary school

:35:05. > :35:07.with results weight above the average, but who achieve

:35:08. > :35:13.significantly less well than similarly able but more advantage

:35:14. > :35:21.pupils. Nationally 78% of level five pupils go on to achieve the eve

:35:22. > :35:25.that. But from those from disadvantaged backgrounds, that

:35:26. > :35:30.figure is 52%. You should be as concerned as we are and you should

:35:31. > :35:33.be looking at every option and asking how we spread the excellence

:35:34. > :35:38.that we see in our schools to every part of the country. You should be

:35:39. > :35:46.more concerned about the education and these children are receiving. If

:35:47. > :35:50.you really care, you will look at the proposals in the consultation

:35:51. > :35:54.document and take seriously the suggestions of how to eradicate

:35:55. > :36:00.inadequate school provision wherever it exists. We will take seriously

:36:01. > :36:07.the responses to that consultation. We will listen to views and we will

:36:08. > :36:11.understand the concerns, but on the clear understanding that our joint

:36:12. > :36:16.endeavour is to promote social mobility and ensure that a child's

:36:17. > :36:24.one chance of an education is not sacrificed on the altar of political

:36:25. > :36:28.posturing. The question is that the original words stand part of the

:36:29. > :36:32.question. As many as are of that opinions they eye, on the contrary

:36:33. > :38:32.say no. Clear the lobby. As many of the opinion that say Aye.

:38:33. > :44:39.The contrary, No. Tell us for the Ayes and Noes. -- tellers.

:44:40. > :49:46.In order, order. We Ayes, 263, we Noes, 210.

:49:47. > :50:09.The Ayes to the right, 263, the Noes to the left, 310. The Noes have it.

:50:10. > :50:19.Unlock. The question is that the proposed words be there at that, as

:50:20. > :50:28.many other opinion say Aye? Of the contrary, No? The Ayes have it. We

:50:29. > :50:35.now come to the second opposition Day motion in the name of the Leader

:50:36. > :50:39.of the Opposition. On the NHS funding. I inform the House that Mr

:50:40. > :50:44.Speaker has selected the amendment in the name of the Prime Minister.

:50:45. > :50:51.And I call Jonathan Ashworth to move the motion. I grateful, Madam Deputy

:50:52. > :50:56.Speaker, I beg to move the motion in my name and that of my right

:50:57. > :51:00.honourable friends, may I begin with reminding the House that six years

:51:01. > :51:10.ago the Conservative leader promised to cut the deficit and not the NHS.

:51:11. > :51:14.The previous Chancellor, who told us he would properly fund public

:51:15. > :51:21.services. And investment in public services would, but for tax cuts.

:51:22. > :51:27.Will my honourable friend give way? Go on, then. He is most generous. My

:51:28. > :51:32.honourable friend may have missed something. Did the Chancellor not

:51:33. > :51:39.say he would wipe out the deficit by 2015? My honourable friend is eagle

:51:40. > :51:43.eyed. I congratulate him for reminding us that they should have

:51:44. > :51:50.balanced the books by 2015 and they completely failed on that pledge.

:51:51. > :51:56.The new Prime Minister promised us we will be looking to ensure that we

:51:57. > :52:02.provide the health service that is right for everyone in this country.

:52:03. > :52:08.Fine words, that it is by their deeds that they will be known. What

:52:09. > :52:13.did we get? An NHS that is going through the largest financial

:52:14. > :52:18.squeeze in its history. Far from protecting the NHS through the years

:52:19. > :52:24.of this Tory government, NHS spending will represent an average

:52:25. > :52:28.annual increase of just 0.9%. A decade of barely any increase in

:52:29. > :52:37.spending despite an ageing population with increasingly complex

:52:38. > :52:42.needs. By 2017, NHS spending head-to-head will be falling under

:52:43. > :52:47.this Conservative government. Trusts ended last year in deficit. But the

:52:48. > :52:53.second year running it was 2.54 billion and it will be at least 675

:52:54. > :53:00.million by the end of this financial year. I will give way. Is this the

:53:01. > :53:05.explanation for the secret plan in County Durham to cut the number of

:53:06. > :53:11.beds for frail, elderly people by 20%? My honourable friend makes an

:53:12. > :53:17.important point and we will be coming on to these secret plans as I

:53:18. > :53:21.developed my speech. But we will be spending less on the NHS as a

:53:22. > :53:28.proportion of GDP than Germany, France or the Netherlands. Matrons

:53:29. > :53:33.grants have been repeatedly raided with billions allocated to capital

:53:34. > :53:37.routinely switched to revenue to plug gaps. The maintenance backlog

:53:38. > :53:43.is so bad it is at 5 million in repairs. In a few moments. The

:53:44. > :53:52.former Education Secretary needs to come down. Public-health barges

:53:53. > :53:53.which fund budgets to tackle teenage pregnancy, anti-smoking

:53:54. > :53:58.interventions, sexually transmitted disease infections, this

:53:59. > :54:03.public-health budget will be cut by 9.7% by the end of this Parliament,

:54:04. > :54:12.a completely false economy leading to greater demands on the sector. As

:54:13. > :54:16.my honourable friend, the member for Worsley outlined last week, the

:54:17. > :54:23.adult social care budget has been slashed. I am extremely grateful.

:54:24. > :54:30.That house would take him somewhat more seriously if he did point out

:54:31. > :54:36.that by 2019 and 2020 the real terms increase in spending on the health

:54:37. > :54:41.service will be ?10 billion and during the last election his party

:54:42. > :54:50.only promised to increase spending in this Parliament by a quarter of

:54:51. > :54:53.that, ?2.5 billion. The right honourable gentleman was the

:54:54. > :55:00.minister who took the Health and Social Care Act through this

:55:01. > :55:04.Parliament which wasted ?3 billion on a top-down organisation. He

:55:05. > :55:09.should be apologising to the House. I want to make progress. We are

:55:10. > :55:15.seeing unprecedented cuts to social care. People over 65 accessing

:55:16. > :55:24.publicly funded social care will fall. Public spending on social care

:55:25. > :55:28.is set to fall to less than 1% of GDP by the end of this Parliament.

:55:29. > :55:35.The former Conservative pensions Minister appointed by David Cameron

:55:36. > :55:39.said, we are sleepwalking into a crisis and the NHS will not be able

:55:40. > :55:47.to pick up the pieces of a broken system. I have given way. The

:55:48. > :55:56.honourable gentleman can check Hansard tomorrow. The scale of the

:55:57. > :56:03.financial pressures engulfing the NHS... I thank my honourable friend

:56:04. > :56:09.for giving way. That he agreed that when funding is cut, our hospitals

:56:10. > :56:13.seek to raise cash in other ways by an unacceptable level of car parking

:56:14. > :56:19.charges which the government promised before the last election to

:56:20. > :56:22.clamp down on? My honourable friend is running a brilliant campaign on

:56:23. > :56:29.this and I hope the Minister replies to that point. The scale of the

:56:30. > :56:37.financial pressures... I am going to make some progress. The scale of the

:56:38. > :56:43.financial pressures engulfing the NHS is such that the chief executive

:56:44. > :56:47.of NHS providers said the gap between what the NHS is being asked

:56:48. > :56:54.to deliver underfunding it has available is too big and is growing

:56:55. > :56:58.rapidly. The Kings have said, it signifies a health system buckling

:56:59. > :57:07.under the strain of huge financial and operational pressures. In the

:57:08. > :57:10.most damning statement the National Audit Office concluded that

:57:11. > :57:15.financial problems in the NHS are endemic and this is not sustainable.

:57:16. > :57:21.Even the former Health Secretary Andrew Lansley said, in 2010 we knew

:57:22. > :57:25.we had to implement a tight budget squeeze for five years, but we never

:57:26. > :57:33.thought it would last for ten. I will give way. Surely he has seen

:57:34. > :57:38.the report from the Nuffield Trust which shows very clearly that there

:57:39. > :57:43.is only one part of the United Kingdom that has seen a real terms

:57:44. > :57:49.cut in NHS expenditure and that is Wales under a Labour government.

:57:50. > :57:56.They will be a cash injection in Wales in 2017 whereas spending in

:57:57. > :58:06.the NHS in England will be levelling out and falling in 2018. That is the

:58:07. > :58:13.reality. I will give way. In Enfield we are assured of 84 GPs going

:58:14. > :58:17.forward and we have just had a hospital crisis at the North

:58:18. > :58:22.Middlesex where there were not enough doctors for our A to be

:58:23. > :58:27.safe for patients. The only thing we hear about is the sustainability and

:58:28. > :58:32.transformation plan locally which as far as we can see is not only

:58:33. > :58:37.secret, but also is about taking ?22 billion out of the NHS. My right

:58:38. > :58:40.honourable friend is absolutely right and she is a brilliant

:58:41. > :58:45.campaigner for the health service in Enfield. The point she makes is

:58:46. > :58:52.incredibly well made and I hope the Secretary of State response to her.

:58:53. > :58:56.Things are so bad for the Health Secretary that the NHS chief

:58:57. > :59:02.executive told the Health Select Committee that 2018, 2019, will be

:59:03. > :59:09.the most precious year for us. We will have negative per person NHS

:59:10. > :59:15.funding growth. That is the chief executive of the NHS. Will the

:59:16. > :59:20.health Minister listen and respond, or will we get what we saw in the

:59:21. > :59:26.Sunday newspapers, briefing against him when we heard that they are

:59:27. > :59:29.gunning for him and they are going to fix Mr Stevens? I hope the

:59:30. > :59:35.Secretary of State will repudiate that briefing when he's response and

:59:36. > :59:40.distances himself from it. The only people who do not accept the need

:59:41. > :59:44.for more money for the NHS is the Prime Minister and the Secretary of

:59:45. > :59:49.State. But we anticipate what he is going to tell us and the honourable

:59:50. > :59:53.member for Chelmsford alluded to it. He will tell us we have this

:59:54. > :59:58.generous Conservative government that has not only given the NHS the

:59:59. > :00:04.money it asked for but it will persist with the fiction the NHS is

:00:05. > :00:10.receiving an extra 10 billion. But we all know, and I suspect in

:00:11. > :00:13.reality the Secretary of State himself knows, because he distances

:00:14. > :00:17.himself from the figure when he does his interviews, but we know that

:00:18. > :00:23.thanks to the Health Select Committee that this 10 billion claim

:00:24. > :00:30.is completely bogus. It is a claim universally derided and discredited.

:00:31. > :00:35.Of course I will give weight to the former Education Secretary. The

:00:36. > :00:40.chief executive of the NHS who he has just welcomed mention welcomed

:00:41. > :00:48.that additional ten billion and said it gave the NHS the extra headroom

:00:49. > :00:53.we need. Will he repudiate his criticism and welcome that ?10

:00:54. > :01:00.billion extra funding? The chief executive's comments speak for

:01:01. > :01:04.themselves. When are we going to get our ?350 million a week? That is

:01:05. > :01:12.when we are talking about repudiation? What is it the Tories

:01:13. > :01:19.saying one thing before the people vote and saying something completely

:01:20. > :01:27.different after the people have had their say? The continued use of the

:01:28. > :01:34.figure of 10 billion for additional help spending up to 2021 is not only

:01:35. > :01:41.incorrect, but risks giving a false impression that the NHS is awash

:01:42. > :01:46.with cash. She is only sat a bit further down, you can have a word

:01:47. > :01:50.with her if you disagree with that. The Secretary of State hopes we do

:01:51. > :01:55.not notice that he is stretching the time frame over which he presents

:01:56. > :02:01.this funding allocation. He hopes we do not notice the definition of NHS

:02:02. > :02:05.spending has been redefined by the most recent spending review. He

:02:06. > :02:08.hopes we do not spot he is cutting billions from public health budgets

:02:09. > :02:14.and other departments of health funding streams by 3 billion. Mr

:02:15. > :02:20.Speaker, we have noticed because we have spotted the Secretary of

:02:21. > :02:25.State's conjuring act. We have seen this Tory trick before, robbing

:02:26. > :02:31.Peter to pay Paul. The results of the trick cuts and underfunding,

:02:32. > :02:39.more pressure flowing through to the front line and financial stress

:02:40. > :02:41.harming patient care. In all our constituencies ever lengthening

:02:42. > :02:47.queues of the elderly and the sick waiting for treatment. We see across

:02:48. > :02:55.the board the worst performance data since records began. He says

:02:56. > :03:00.nonsense. What world is he in? Half a million patients waiting for four

:03:01. > :03:06.hours or more in A in the past three months, the worst performance

:03:07. > :03:12.in a decade, and he says it is nonsense. 350,000 of our

:03:13. > :03:17.constituents waiting longer than the promised time for elective treatment

:03:18. > :03:20.and he says it is nonsense. The number of people waiting for 12

:03:21. > :03:32.hours or more on trolleys has increased by over 700% since 2011,

:03:33. > :03:38.2012. Why is it in 12 minutes he has yet to praise all those hard-working

:03:39. > :03:42.nurses and doctors and other health professionals? Why is he constantly

:03:43. > :03:48.talking down our great NHS, including the hospitals in Leicester

:03:49. > :03:53.messy-mac I praise our doctors and workers in the NHS every day of the

:03:54. > :04:00.week. But I suspect they will have more sympathy with the position I am

:04:01. > :04:06.outlining. 80% of NHS staff think the NHS is currently under the most

:04:07. > :04:11.pressure they can ever remember and 77% think there is less access to

:04:12. > :04:19.resources putting patients at risk. OK, I will give way. If I can just

:04:20. > :04:25.allow him to break off from reading his press release... We are moving

:04:26. > :04:29.towards a consensus on this in that we do need to integrate between

:04:30. > :04:36.acute, clinical care and adult social care. Why is it in 13 years

:04:37. > :04:42.of a Labour government when there was a significant demographic change

:04:43. > :04:48.why did they not bring forward a better precept for care in 13 years

:04:49. > :04:52.of a Labour government? It beggars belief, we tripled investment on the

:04:53. > :04:57.NHS and he and his friends voted against every penny of it. We had

:04:58. > :05:01.the highest satisfaction levels on record. That is the difference

:05:02. > :05:06.between a Labour government and a Conservative government. I am

:05:07. > :05:11.grateful to the shadow minister. Can he explain why it is the Labour

:05:12. > :05:17.government closed maternity and accident and emergency at Cory

:05:18. > :05:26.hospital? Reconfigurations always go ahead. If he is so concerned, I look

:05:27. > :05:30.forward to the honourable gentleman campaigning against the FTPs in his

:05:31. > :05:35.area when they are published. I am aware members want to speak. We have

:05:36. > :05:41.seen what the reality of six years of Tory government is all about.

:05:42. > :05:46.They will be more staff cuts to come which will add further pressures.

:05:47. > :05:52.For example, cuts to the Care Quality Commission means it will be

:05:53. > :05:58.increasing its fees for NHS hospitals and other trusts and

:05:59. > :06:01.providers. Some will have to pay over ?100,000. Reductions in

:06:02. > :06:09.education will put more pressure on trusts and on the front line. We

:06:10. > :06:14.debated cuts to community pharmacies which will lead to increased demands

:06:15. > :06:20.on the NHS. Last week it slipped out, the privatisation of NHS

:06:21. > :06:24.professionals which makes a profit for the NHS and ploughs the profits

:06:25. > :06:30.back into the NHS, that profits will go to private companies. There is an

:06:31. > :06:35.utter failure to deal with the crisis in adult social care and the

:06:36. > :06:40.lack of planning for a population with complex needs will lead to more

:06:41. > :06:46.demand on the NHS and deficits across the board. It is in this

:06:47. > :06:50.context that the NHS is also expected to find 22 billion of

:06:51. > :06:55.so-called efficiencies and completely redesign services across

:06:56. > :06:55.England as part of the sustainability and transformation

:06:56. > :07:04.process. Where SDP is about transforming

:07:05. > :07:09.services in the interest of patient care, reversing fragmentation, we

:07:10. > :07:14.will consider them carefully. We want to look at every single SDP to

:07:15. > :07:18.see if they are genuinely jointly owned, tackle the crisis in social

:07:19. > :07:23.care, guaranteed better access to care in the long and whether they

:07:24. > :07:29.are transparent and financially viable. But what we know so far is

:07:30. > :07:34.far from reassuring. What began as a project about transforming services

:07:35. > :07:40.for patients and community services can now see from the 19 or that have

:07:41. > :07:45.been published so far that the ground has shifted. It is now

:07:46. > :07:49.obvious that they are more about closing the financial gap. Of course

:07:50. > :07:54.the driving force behind SDP is the emergence in the last two financial

:07:55. > :07:57.years of substantial deficits. They are not my words, they are the words

:07:58. > :08:05.of Andrew Lansley just a few weeks ago. The areas we have seen, racking

:08:06. > :08:10.up shortfalls, just that we have seen published, of about ?10

:08:11. > :08:16.billion, which can only be filled by cups, closing hospitals, downgrading

:08:17. > :08:22.A, downgrading maternity wings, and withdrawing treatment. Across

:08:23. > :08:26.the south-west... I give way. Does he agree with me that proposals to

:08:27. > :08:31.downgrade A in an area like Warrington, surrounded by motorways,

:08:32. > :08:37.as well as containing many people who suffer from health deprivation,

:08:38. > :08:41.is a recipe for disaster, if people need to travel further for emergency

:08:42. > :08:47.care, and will in no way to their care? My honourable friend is

:08:48. > :08:51.extremely knowledgeable and I know she has campaigned vigorously on

:08:52. > :08:55.this and the point that she makes is completely right. In Merseyside

:08:56. > :08:58.Whittlesey hospitals merge. In London, lost, in Durham,

:08:59. > :09:03.efficiencies to be found from staffing levels, and in Merseyside

:09:04. > :09:08.and Cheshire where my honourable friend represents, the STB talks

:09:09. > :09:14.enticing of exploration of a factory body. Doesn't that sound nice? So

:09:15. > :09:18.with cuts to services, rock bottom staff morale, we approach the NHS

:09:19. > :09:28.with the Secretary of State playing the part off Ashley. But the public

:09:29. > :09:34.deserve better than a bargain basement approach. The Prime

:09:35. > :09:47.Minister may have ruled out extra funding. I will give way. I have

:09:48. > :09:50.listened with great interest to the honourable gentleman, and he has

:09:51. > :09:55.spoken eloquently about his concerns about the NHS but he has not, in the

:09:56. > :09:59.course of those 80 minutes, put forward a single positive policy or

:10:00. > :10:05.explained where a single penny of additional funding will come from.

:10:06. > :10:10.He secured this time for this debate, can he at least put forward

:10:11. > :10:14.a positive policy for the NHS, or a suggestion of where the money comes

:10:15. > :10:20.from? The honourable gentleman has a brass neck. We still don't know

:10:21. > :10:29.where we will get the ?350 million from. The next time intervenes

:10:30. > :10:34.perhaps he will tell us. Order, order. Enough, enough shouting.

:10:35. > :10:40.Perhaps the honourable gentleman would like to tell me how cutting

:10:41. > :10:44.the A at Southport and Ormskirk Hospital and giving local community

:10:45. > :10:50.and acute services to converge on care can be a positive story for the

:10:51. > :10:55.NHS? This is exactly the point we are making. My honourable friend is

:10:56. > :11:00.absolutely correct. This is why we need to look carefully at all of

:11:01. > :11:04.these SDP is, but all we see at the moment are glossy brochures telling

:11:05. > :11:08.us everything will be all right, not to worry. We want transparency and

:11:09. > :11:13.the Secretary of State should demand and insist that every single SDP is

:11:14. > :11:19.published and we have details of the cuts. I would way to my honourable

:11:20. > :11:28.friend. Is it one of the problems with local planning, a lack of GPs

:11:29. > :11:36.at local level? And would it help of the health and social care act was

:11:37. > :11:39.amended so that CCG NHS England can provide directly salaried GPs

:11:40. > :11:44.instead of the situation at the moment where there are prevented

:11:45. > :11:50.from doing so? This would be a practical example which would save

:11:51. > :11:56.money, I believe, and increase local provision of GP services. My

:11:57. > :12:00.honourable friend is absolutely right, GP morale is at an all-time

:12:01. > :12:04.low and she correctly identifies another problem emerging because of

:12:05. > :12:08.this act which was passed in this Parliament. My honourable friend

:12:09. > :12:13.makes an important point and I hope the minister responsible. I will

:12:14. > :12:16.give way but then no further. Is he aware that in Cheshire and

:12:17. > :12:24.Merseyside not only have they refused to publish details about the

:12:25. > :12:26.SDP but they have refused my freedom of information request for

:12:27. > :12:29.information about the meetings that were held on it, and who was

:12:30. > :12:33.present. Does that not simply give rise to the suspicion that the whole

:12:34. > :12:38.process is driven by cups rather than a need to improve care.

:12:39. > :12:42.Absolutely right, I must make progress, I am anxious that people

:12:43. > :12:45.wish to speak. The Chancellor should respond to the growing body of

:12:46. > :12:53.evidence tomorrow saying that the NHS has not been given the money it

:12:54. > :13:03.needs. Tomorrow we need an end to the greatest betrayal in adult

:13:04. > :13:06.social care. A long overdue and necessary investment is needed by

:13:07. > :13:12.the NHS. They are shouting, whereas the coming from? But what sense does

:13:13. > :13:16.it make to carry on cutting inheritance tax, capital gains tax,

:13:17. > :13:22.corporation tax, costing the exchequer billions, and at the same

:13:23. > :13:27.time failing to fund the NHS or give social care the money demands? The

:13:28. > :13:31.Prime Minister lets the CBI now that she is prepared to give away

:13:32. > :13:36.billions extra incorporations tax but then tells us there's no money

:13:37. > :13:42.for the NHS. What is stopping the Chancellor acting tomorrow is not

:13:43. > :13:47.financial constraint but ideological constraints, it is time to give the

:13:48. > :13:53.NHS funding it needs, and I commend this motion to House. The question

:13:54. > :13:57.is as of the order paper and I: Jeremy Hunt to move the amendment in

:13:58. > :14:04.the name of the Prime Minister. I beg to move the amendment in the

:14:05. > :14:08.name of the Prime Minister and I want to start by recognising the

:14:09. > :14:16.fantastic work done by NHS staff up and down the country. This autumn I

:14:17. > :14:20.met a mental health nurse who told me how she had had to cope with the

:14:21. > :14:24.pressure of one of her patients throwing himself off a bridge the

:14:25. > :14:29.day after a consultation. I think all of us in this House will have

:14:30. > :14:33.stories of the incredible dedication of NHS staff, not just people doing

:14:34. > :14:38.their jobs, but people putting their heart and soul into their work,

:14:39. > :14:42.staying late, going the extra mile, sacrificing him time and holidays to

:14:43. > :14:50.be there for patients. And as for last week got to recognise the NHS

:14:51. > :14:56.staff from EU countries who do a brilliant job, including 26,000

:14:57. > :15:01.low-paid staff. Today we have heard concerns on funding, A I will

:15:02. > :15:06.give way in a moment. I just wish to finish this sentence, if I may. We

:15:07. > :15:11.have heard funding an AMD performance, waiting times, and I

:15:12. > :15:16.want to answer them all. There are many pressures in the NHS today and

:15:17. > :15:19.I want to recognise some successes. One of the things that damages

:15:20. > :15:28.morale the most is when you do not give credit where it is due. Can he

:15:29. > :15:32.explain why he is making scores of redundancies in North Staffordshire?

:15:33. > :15:35.In my 15 years as an MP I have never seen the NHS locally in such a melt

:15:36. > :15:42.down but the scorched earth policy of cuts and closures, and more to

:15:43. > :15:45.come with this still secret SDP next year. When will the government

:15:46. > :15:50.realise that the pressures on social care and the NHS as such are

:15:51. > :15:54.unsustainable without decent for the funding and investment? Is he will

:15:55. > :15:57.know it certainly would be unsustainable if we followed his

:15:58. > :16:08.party's investment plans at the last general election but if you want to

:16:09. > :16:10.know what is happening to staff, in the period that I have been Health

:16:11. > :16:13.Secretary we have 5000 more doctors and 10,000 more nurses, that is what

:16:14. > :16:15.happens when the government is prepared to invest in the NHS. What

:16:16. > :16:19.the Shadow Health Secretary did not tell us, he talked about, and he's

:16:20. > :16:22.right to say that we are not hitting the target and doing something about

:16:23. > :16:28.it, but what he did not tell the House was that since Labour left

:16:29. > :16:34.office we have recruited 1200 more doctors for A departments, a 25%

:16:35. > :16:39.increase, more than a 50% increase for consultants, and every day we

:16:40. > :16:45.are seeing, within four hours, 2500 more people. I give way to a junior

:16:46. > :16:49.doctor. I thank my honourable friend for giving way. I am a junior doctor

:16:50. > :16:54.of which you speak and I can say that morale is at an absolute

:16:55. > :16:58.all-time low. We have a recruitment and retention crisis, and all the

:16:59. > :17:03.fantastic staff we are being able to recruit, we are absolutely losing.

:17:04. > :17:06.Because this government is not recognising and accepting the

:17:07. > :17:11.fantastic workforce we have on the front line, and all the doctors are

:17:12. > :17:24.leaving. With the respect I think she is on the wrong side of the

:17:25. > :17:26.House. I started my speech by recognising the brilliant work done

:17:27. > :17:28.by doctors and nurses, something the Shadow Health Secretary

:17:29. > :17:30.conspicuously failed to do. Let's look at her hospital. Since 2010 it

:17:31. > :17:35.has, I don't know if she is interested in hearing my response to

:17:36. > :17:42.her intervention. Her own hospital, since 2010, has got 884 more nurses.

:17:43. > :17:47.I am just finishing my... 240 more doctors. And her CCG has had a ?10

:17:48. > :17:54.million increase in funding. I will give way. I thank the right

:17:55. > :17:59.Honourable gentleman for allowing me to speak again. I shall be making

:18:00. > :18:03.reference, greatly, to Saint Georges, when I get a speed later,

:18:04. > :18:07.but I think it is very unfair of him to bring it into this House because

:18:08. > :18:13.it is because of this government, because of this government, that

:18:14. > :18:16.Saint Georges Hospital is operated at a ?50 million deficit. Because of

:18:17. > :18:21.this government we are now in special measures... Order, order.

:18:22. > :18:26.The honourable lady is hoping to catch the eye of the chair later on

:18:27. > :18:30.in the debate. There will be a five-minute limit. So those people

:18:31. > :18:35.who are going to intervene must do so very briefly, and not very

:18:36. > :18:40.frequently. And if they do so I am afraid they may not get to speak

:18:41. > :18:43.later on. Jeremy Hunt. Amongst other things the Shadow Health Secretary

:18:44. > :18:47.did not speak about was cancer. In 2010 we had the lowest cancer

:18:48. > :19:03.survival rate in Western Europe. Since then, every

:19:04. > :19:07.day, we refer for cancer tests 2200 more people, and 100 more people

:19:08. > :19:10.start treatment every single day, cancer charities say it saves 12,000

:19:11. > :19:12.lives per year. On mental health he did not mention the fact that we

:19:13. > :19:15.treat 1400 more people every day. With record dementia diagnosis

:19:16. > :19:17.rates. I am very happy to give way. Will the opposition be more

:19:18. > :19:20.straightforward and honest with the wider context by admitting the

:19:21. > :19:24.demographic challenge that this government faces, as they would have

:19:25. > :19:30.faced, that the number of over 60s will increase by 50% over 15 years?

:19:31. > :19:34.And also, the appalling millstone of PFI, which they bequeathed to this

:19:35. > :19:42.government, ?64 billion, impacting on front line care. He is absolutely

:19:43. > :19:47.right to raise that point. And I think that people will be astonished

:19:48. > :19:51.to hear the Labour Party wasting its time talking about a privatisation

:19:52. > :19:56.of the NHS that is not happening, when they themselves are responsible

:19:57. > :19:59.for PFI, the worst possible privatisation, that has done such

:20:00. > :20:04.enormous damage. The other point that he did not mention is what

:20:05. > :20:11.Labour left behind in terms of the quality and safety of care in our

:20:12. > :20:15.NHS. The Francis Report showed massive problems including short

:20:16. > :20:19.staffing, a culture of denial and cover-ups, not just at Mid-Staffs,

:20:20. > :20:23.but Basildon, Morecambe Bay, many others, and since we have been in

:20:24. > :20:29.office we have changed it, putting 31 hospitals into special measures,

:20:30. > :20:33.more than 10% across the entire NHS, recruiting record numbers of doctors

:20:34. > :20:41.and nurses, and they want to tell the House about one trust in special

:20:42. > :20:43.measures, in Slough, the care was unsafe, so much so that less than

:20:44. > :20:47.half the staff in the hospital were prepared to recommend careful their

:20:48. > :20:52.own friends and family. I will just finish this if I may. They went from

:20:53. > :20:57.six out of eight of their clinical areas requiring improvement or

:20:58. > :21:00.inadequate, to all they'd been good or outstanding. They came out of

:21:01. > :21:04.special measures, 15 hospitals in total have come out of special

:21:05. > :21:09.measures, and we should all commend the staff who work incredibly hard

:21:10. > :21:13.to turn those hospitals round. I will give way. He has the nerve to

:21:14. > :21:19.talk about the inheritance of a previous administration when what we

:21:20. > :21:30.inherited in 1997 was people dying on waiting lists, for over 18

:21:31. > :21:34.months. I have often, from this dispatch box, be prepared to praise

:21:35. > :21:37.some of the achievements of the last Labour government, they did bring

:21:38. > :21:43.down waiting times, but what they did not focus on was the quality and

:21:44. > :21:49.safety of care. What we now know from the CQ senile regime which has

:21:50. > :21:51.just finished its inspections is that 56% of hospitals are good or

:21:52. > :22:32.outstanding. progress. Am I right in saying that

:22:33. > :22:38.the Right Honourable gentleman talks about the inspection regime, but

:22:39. > :22:40.this was not something he and his Government introduced. The Care

:22:41. > :22:44.Quality Commission and that regime was introduced by the Labour

:22:45. > :22:49.Government, as far as I am aware. The hospitals that end up in special

:22:50. > :22:52.measures, as I know from North Middlesex Hospital, is because they

:22:53. > :23:00.are underfunded, under supported and can't get the doctors they need. I'm

:23:01. > :23:03.afraid that she is right to say the sea QC -- the Care Quality

:23:04. > :23:08.Commission was set up by the last Government, but they did not have

:23:09. > :23:11.independence from the Government in their inspection reports, and when

:23:12. > :23:15.we tried to legislate for that, Labour tried to vote it down. We

:23:16. > :23:20.have changed the system and it is working extremely well. I want to

:23:21. > :23:23.move on to the substance of the debate - the funding of the NHS. I

:23:24. > :23:32.want to congratulate the honourable member for Leicester South for his

:23:33. > :23:35.courage and his confidence in confronting the issue of funding

:23:36. > :23:41.despite inheriting a Labour policy to cut funding of the NHS by ?5.5

:23:42. > :23:45.billion a year by the end of the parliament. He is right that there

:23:46. > :23:54.has never been greater financial pressure after the financial crisis

:23:55. > :23:58.in 2008, the deficit, the growing demand from the ageing population,

:23:59. > :24:03.so he must accept that it is all extraordinary that Labour wanted to

:24:04. > :24:08.cut the NHS budget in 2010, and cut it from current levels in 2015. I

:24:09. > :24:15.simply say that we could as a Government have chosen to cut NHS

:24:16. > :24:19.funding from this year's level by ?1.3 billion, which would have been

:24:20. > :24:26.Labour's plans, but if we had, we would have had to lay off 11,000

:24:27. > :24:31.doctors or 40,000 nurses. I am happy to give way. This is the problem

:24:32. > :24:38.with the conservative script. They talk about NHS funding but

:24:39. > :24:41.completely neglect social care. They have cut social care every year for

:24:42. > :24:46.the last six years, taking support away from 500,000 older people, many

:24:47. > :24:52.of whom are now trapped in hospital beds. Greater Manchester has a

:24:53. > :24:56.shortfall of ?80 million in social care ?1 billion nationally. As he

:24:57. > :24:59.raised this issue with the Chancellor, made an emergency bid

:25:00. > :25:04.for funding, and can he tell us whether they will put more money for

:25:05. > :25:08.social care this year? It is not a problem with our script but with

:25:09. > :25:12.his, because he as Shadow Health Secretary sanctioned a policy that

:25:13. > :25:16.would have given and the NHS ?1.3 billion less this year, and the

:25:17. > :25:20.Shadow Chancellor in the last election said he would give not a

:25:21. > :25:24.penny more to local authorities, whereas we are seeing social care

:25:25. > :25:29.funding going up by ?600 million this year, more money into the NHS

:25:30. > :25:32.and into the social care system and a Government that is committed to

:25:33. > :25:36.funding them both. What is especially wrong about the argument

:25:37. > :25:42.made by the Shadow Health Secretary, whom I do welcome to his first

:25:43. > :25:47.Opposition Day debate, is that the Government has not honoured its

:25:48. > :25:50.promises to the NHS. What did the Independent commentators actually

:25:51. > :25:54.say at the time of last year's spending review? Simon Stephens,

:25:55. > :25:59.only quoted, said, our case for the NHS has been heard and actively

:26:00. > :26:04.supported. NHS providers he quoted said it was a good settlement for

:26:05. > :26:08.the NHS. The Kings fund said it was a good settlement for the NHS.

:26:09. > :26:13.Because of the Government's commitment to the NHS, we are

:26:14. > :26:22.spending 10% more as a proportion of GDP than the OECD average, than

:26:23. > :26:25.Norway, Finland,... I give way. I am grateful to my right honourable

:26:26. > :26:35.friend because would he not agree that without that investment, since

:26:36. > :26:39.2009-10 to last year, there would not have been 1.6 million more

:26:40. > :26:45.operations within the NHS that benefit all our constituents? He is

:26:46. > :26:50.right, and I want to congratulate him. He was part of the shadow

:26:51. > :26:53.health team that persuaded the then Shadow Chancellor and Leader of the

:26:54. > :26:58.Opposition that we needed to make this investment. Thanks to that

:26:59. > :27:01.investment, the NHS is doing 5000 more operations every single day. I

:27:02. > :27:08.give way to my right honourable friend. He has been very gracious so

:27:09. > :27:12.far in taking interventions from all sides and inciting independent

:27:13. > :27:15.voices. Is it not the case that the independent King 's fund has also

:27:16. > :27:18.pointed out that the sustainability and transformation plans he is

:27:19. > :27:22.overseeing are the best hope of securing long-term improvement for

:27:23. > :27:25.health and care in this country, and doesn't he agree with me that the

:27:26. > :27:29.opposition to pay rather more attention to these independent

:27:30. > :27:37.experts rather than repeating their own press releases? I think he is

:27:38. > :27:42.right that just occasionally we should listen to experts, but only

:27:43. > :27:46.very occasionally. In the spirit of listening to experts this afternoon,

:27:47. > :27:53.let me tell you something else that he will agree with that the King 's

:27:54. > :28:00.fund said, as we have the Leader of the Opposition here. It said, claims

:28:01. > :28:04.of mass privatisation are exaggerated. Let's not go chasing

:28:05. > :28:07.down rabbit holes. The result of this Government's commitment to the

:28:08. > :28:12.NHS is that real terms spending per head has gone up by 4.6%, double the

:28:13. > :28:18.rate of Scotland and three times the rate of Wales. He also mentions the

:28:19. > :28:22.National Audit Office but he didn't mention that the numbers mentioned

:28:23. > :28:30.in the report on last year's figures. He failed to mention this

:28:31. > :28:36.year's numbers, published last week, showing 40% fewer trusts in deficit.

:28:37. > :28:40.86% of trusts are hitting their financial plans, and the latest

:28:41. > :28:44.figures on Friday showed that the deficit will fall 73% from last

:28:45. > :28:52.year, and even lower than the year before. Why is that? Because of a

:28:53. > :28:55.sustained effort by the NHS to tackle the problem. They don't want

:28:56. > :29:03.to hear, but the truth is, the NHS is gripping the very problem that

:29:04. > :29:16.the shadow minister called a debate on. The rate paid for agency nurses

:29:17. > :29:22.is down 18%, followed come doctors, down 13%. The money we raised from

:29:23. > :29:31.international visitors is up three times, from 84 million to 289

:29:32. > :29:35.million. Isn't it important to focus not just on the level of spending

:29:36. > :29:39.but where we spend the money? As far as a long-term condition like

:29:40. > :29:43.diabetes is concerned, isn't it essential that we focus on

:29:44. > :29:49.preventative work, which in the long-term will actually save the NHS

:29:50. > :29:54.a huge of money? It is absolutely right, and you know, in all

:29:55. > :29:57.frankness, that is the argument that could be made from the front bench

:29:58. > :30:04.this afternoon, and we would be having a much better debate. I give

:30:05. > :30:07.way to my honourable friend can I congratulate him for the calm and

:30:08. > :30:14.dignified way he is dealing with this debate, as a parent -- as

:30:15. > :30:27.compared to the opposition. I would like to put in a plug for the local

:30:28. > :30:32.Community Hospital is not just about my -- Community Hospitals, not just

:30:33. > :30:37.in my constituency but across the country. They will continue to be a

:30:38. > :30:41.vital part of provision in most of our constituencies. I will give way

:30:42. > :30:45.to the honourable lady then I will make progress. If the Secretary of

:30:46. > :30:49.State thinks that community hospitals are so important, can he

:30:50. > :30:56.guarantee that the Richardson in Barnard Castle will stay open? I

:30:57. > :30:59.think she will be happy that these decisions are made locally rather

:31:00. > :31:07.than by the Health Secretary of either party. I just want to pick up

:31:08. > :31:12.on one particularly extraordinary comment that the Shadow Health

:31:13. > :31:16.Secretary made yesterday. He said, aggressive efficiency targets have

:31:17. > :31:20.contributed to deficits. This is a curious thing to say, firstly,

:31:21. > :31:28.because his own spending plans would have meant by 5p more of

:31:29. > :31:33.efficiencies. I wonder how he would describe Labour's approach.

:31:34. > :31:36.Secondly, I know we are all called on supporters now, but basic

:31:37. > :31:42.economics suggests that efficiency plans don't increase deficits, --

:31:43. > :31:46.don't reduce deficits, they increased them. We want the money to

:31:47. > :31:51.go into patient care. There was another danger in his argument, and

:31:52. > :31:54.I think this is a mistake that it is very easy not just for him but for

:31:55. > :31:59.many commentators to fall into, and that is the suggestion that this is

:32:00. > :32:06.a uniform problem across the NHS, that the NHS is powerless to grip

:32:07. > :32:08.without further Government intervention, when the reality is

:32:09. > :32:15.that there was huge variation across the system. The deficits add good or

:32:16. > :32:19.outstanding trusts are five times less than those of other trusts is.

:32:20. > :32:24.If they all had the same financial performance as the good or

:32:25. > :32:28.outstanding ones, we would have a service of nearly ?500 million. Half

:32:29. > :32:35.of the deficits are from just 22 trusts, and we see these variation

:32:36. > :32:40.on a specific level. The amount played her gloves, some trusts pay

:32:41. > :32:46.?1.27, others pay just 50p for the same gloves. On waiting lists... I

:32:47. > :32:49.will give way in a moment. On waiting lists, if you look at the

:32:50. > :32:53.1000 people who are waiting more than a year for treatment, which is

:32:54. > :32:57.unacceptable, there is just one person from an outstanding trust who

:32:58. > :33:02.has been waiting that long. 93% are from trusts that require improvement

:33:03. > :33:06.or rather inadequate. That is why we have a huge programme to help those

:33:07. > :33:15.trusts improve and deal with challenges. On the initial -- issue

:33:16. > :33:23.of financial management, in Wales, staff spend has increased 50% last

:33:24. > :33:27.year, compared to England. I do recognise that, and I know it has

:33:28. > :33:30.been going up in Scotland as well. It is short-sighted of both those

:33:31. > :33:36.administrations not to work with us to tackle the problem. Otherwise,

:33:37. > :33:41.staff living in border areas play off one system against the other. He

:33:42. > :33:46.has been trying to blame hospitals for the deficit, but the point is,

:33:47. > :33:50.the spend on agency staff has ballooned in England over the last

:33:51. > :33:54.six years. The reason for that is because this Government and its

:33:55. > :33:59.predecessor cut nurse training places and left hospitals in the

:34:00. > :34:03.grip of private staffing agencies. It's simply not fair for the

:34:04. > :34:08.Secretary of State to stand at the dispatch box blaming hospitals for a

:34:09. > :34:11.problem of their making. I am not blaming hospitals, we are supporting

:34:12. > :34:15.them to deal with the problem. The root cause of the problem was the

:34:16. > :34:19.Francis Report and all those hospitals where bad problems were

:34:20. > :34:25.being covered up and we wanted to sort it out, which means more nurses

:34:26. > :34:28.on our wards. That is why we have 10,000 more nurses in the four years

:34:29. > :34:37.I have been Health Secretary. Would he agree with me that the public are

:34:38. > :34:41.finally starting to see through the usual Labour smoke screen of being

:34:42. > :34:44.high on rhetoric, low one alternative solutions, and usually a

:34:45. > :34:51.very patchy and poor delivery when given the job. My right honourable

:34:52. > :34:56.friend's approach is a change in funding, which is what the public

:34:57. > :34:58.are looking for. The two potential solutions we have had from

:34:59. > :35:02.backbenchers, the honourable member for Leicester under former Chief

:35:03. > :35:09.Whip, but not from the front bench. He is making an important point. I

:35:10. > :35:13.want to wrap up my comments. He is right to hold the Government is

:35:14. > :35:17.accountable for the funding of the NHS and social care, but it is a big

:35:18. > :35:23.mistake to distil all issues around the NHS to the simple issue of

:35:24. > :35:25.money, because that sub contracts responsibility for safe,

:35:26. > :35:29.high-quality care to politicians, when if we're going to be the

:35:30. > :35:34.safest, highest quality system in the world, it has to be everyone's

:35:35. > :35:39.job, everyone's focus and commitment. Politicians, yes, but

:35:40. > :35:42.doctors, managers, health care assistants, every single person

:35:43. > :35:48.working in the NHS. The way forward is first of all to move to

:35:49. > :35:56.accountable care models, the five-year view. I just say to the

:35:57. > :36:00.House, because the Shadow Health Secretary brought up the question of

:36:01. > :36:04.STPs, calling them secret plans, but 28 of the 44 had been published and

:36:05. > :36:10.the rest will be published before Christmas. Many in this House

:36:11. > :36:14.objected on all sides to the health and social care act because they

:36:15. > :36:18.felt it didn't do enough to support integrated care. Now we have process

:36:19. > :36:25.that is bringing together the NHS and the social care system, acute

:36:26. > :36:29.trusts, primary care, at a local level. That is a big prize, and we

:36:30. > :36:35.should support that, not try and make political capital. One final

:36:36. > :36:40.point. Very grateful to the Secretary of State. In

:36:41. > :36:43.Stoke-on-Trent, the CCGs set on the STP and we have still not seen that

:36:44. > :36:50.report, but we have seen an executive summary. At the same time

:36:51. > :36:54.as the STP are suggesting one thing, the CCGs are undermining it by

:36:55. > :36:55.closing community hospitals. They are not working together but against

:36:56. > :37:07.each other. That is exactly what we need to sort

:37:08. > :37:14.out, and that is why we have the STP process, and the well-planned

:37:15. > :37:19.strategy. I want to see this, if we stick with this process and have the

:37:20. > :37:25.relentless focus on safety and quality of care, what are we going

:37:26. > :37:32.to see? This parliament? 1 million more people accessing mental health

:37:33. > :37:35.treatment, the transformation of services through GPs. Four week

:37:36. > :37:46.cancer waiting time. That is going to save 30,000 lives, the weekend if

:37:47. > :37:54.it tackled, more nurses and the NHS staying true to the promise made to

:37:55. > :37:57.patients, 1948, that safe, high-quality care is going to be

:37:58. > :38:04.available for everyone regardless of income. That is what the government

:38:05. > :38:11.wants, I get everybody to support this motion. The question is that

:38:12. > :38:22.the original words stand part... Before I call the right honourable

:38:23. > :38:24.lady, the SNP spokesperson, we have calculated five minutes and we are

:38:25. > :38:39.going to have to go down to four minutes. Pardon? Five minutes for

:38:40. > :38:44.me... The speech limit has been calculated with her remains. The

:38:45. > :38:51.longer that she speaks, the listing that everybody else has. -- her in

:38:52. > :38:56.mind. That is disappointing with what I have prepared for today. I

:38:57. > :39:00.think the NHS faces sustainability issues, across the United Kingdom.

:39:01. > :39:07.The increase in demand, from an ageing population with increasing

:39:08. > :39:11.complexity. The problem is that the way that you try to tackle that

:39:12. > :39:17.demand, it is public hearings and also social care, so those people do

:39:18. > :39:27.not end up in the most expensive place. We also have a lack of staff,

:39:28. > :39:31.nurses and doctors, and our lack of training nurses, the threat of

:39:32. > :39:37.losing some of the staff from the European Union. And the other threat

:39:38. > :39:42.to sustainability, it is money. But money is what you could fix. The

:39:43. > :39:48.others are going to take decades to fix, I training more nurses,

:39:49. > :39:57.doctors, inventing a bonus. Finding better ways to look after the ageing

:39:58. > :40:07.population. I welcome the idea of STPs, because it should be a

:40:08. > :40:12.reptile, -- return to planning but the problem is that it has got to be

:40:13. > :40:18.be still in patient centred care. And it is being discussed as though

:40:19. > :40:22.it is coming from budget care. From the select committee, we were told

:40:23. > :40:27.that the STPs had been given a figure that they had to meet by

:40:28. > :40:34.2021. I do not think that is ever going to work. If you want to

:40:35. > :40:37.decrease inefficiency, and increase efficiency then you have got target

:40:38. > :40:45.the inefficiencies at the system, not just take an axe to the whole

:40:46. > :40:51.thing. Because when hospitals run out of money and take action, it is

:40:52. > :40:57.going to be poorly thought, immediate survival. It is looking at

:40:58. > :41:03.the fat, the natural inefficiencies and some of that comes down to this

:41:04. > :41:07.lack of integration. STPs provide a great opportunity and it is going to

:41:08. > :41:12.be an opportunity that we look back and think that we have messed if we

:41:13. > :41:16.do not take it properly. The Secretary of State has said no

:41:17. > :41:21.privatisation for the NHS, but certainly marketisation and

:41:22. > :41:30.outsourcing. I graduated in 1982 so I have lived through every single

:41:31. > :41:40.inspiration, and that 9092 we were just skint. The NHS, 5% of GDP,

:41:41. > :41:47.dropping to 4% over the 19 duties. Instead of increasing that, what we

:41:48. > :41:56.had was just constant redesign. The internal market, GDP purchasing,

:41:57. > :42:09.referring to clinics. If I decided that it was not such a call, GPs

:42:10. > :42:15.would refuse to pay. Surgeons would send them. Patients fell through the

:42:16. > :42:18.cracks. Some of them never got the second referral, and what we had

:42:19. > :42:26.after that was that we started to have change and we went from 106

:42:27. > :42:33.authorities to 300 PCTs, even though the leaders of those PCTs embassy

:42:34. > :42:43.money as the health authorities. People made authorities, and that

:42:44. > :42:51.the mid 2000s, we went from 300 to 150. Again, redundancy and

:42:52. > :43:02.transition. We started to have PFIs, the NHS has paid over 60 billion for

:43:03. > :43:09.11 billion worth of buildings. This was not the correct thing to do. And

:43:10. > :43:13.then we had the health and social care act, replacing them with 211

:43:14. > :43:22.clinical commissioning groups. This is putting power in hands of the

:43:23. > :43:27.GPs. That was through the Freedom of information, with than 12% of the

:43:28. > :43:37.majority on them. 47% do not even have a clinical majority. The idea

:43:38. > :43:44.that the power of CCGs is giving power back to primary care is

:43:45. > :43:52.fallacy. And this was through all governments. Independent treatment

:43:53. > :44:02.centres given block grants. It was not patient choice. The GP had to

:44:03. > :44:14.send the patient to the ICG. Trying to counter that by results. What

:44:15. > :44:18.that don't do -- did do, was increase activity but the activity

:44:19. > :44:24.is just growing and growing. Hospitals get paid for activity, not

:44:25. > :44:34.if that was correct. In Scotland we abandoned trusts in 2004, abandoning

:44:35. > :44:40.Primary Care Trusts in 2009. And if you look at the publication of

:44:41. > :44:50.admin, this is all the NHS, it has fallen from 7.6% in six sevenths, to

:44:51. > :44:57.6.7% in 15/16. With regards to public health at England, nobody has

:44:58. > :45:02.any idea. It was estimated at that time is 14%. I would suggest that

:45:03. > :45:14.the current market is more complex than it was then. I think things can

:45:15. > :45:25.be done. Things can be done about recruitment. It is not limiting, it

:45:26. > :45:33.is not national procurement. The logistics division is going to pick

:45:34. > :45:41.items per ward and deliver them from a central depot, to ward. That

:45:42. > :45:47.allows you to cut costs as was suggested at the carter review. Got

:45:48. > :45:54.to keep down agency craters. -- prices. But why are we not asking

:45:55. > :46:00.the bigger question, why are these nurses choosing to work for an

:46:01. > :46:04.agency rather than the NHS? Is it that they are more money?

:46:05. > :46:13.Flexibility? Family friendliness? Would we not be better to look at

:46:14. > :46:16.how we let them work, because from the point of view of the quality of

:46:17. > :46:21.the job and the satisfaction, all of them would prefer to beat the one

:46:22. > :46:29.place rather than a different place every week. I things can be done.

:46:30. > :46:37.Better use of community pharmacies, and hospitals. It is absolutely

:46:38. > :46:45.crucial that the fund social care, so that elderly people are looked

:46:46. > :46:49.after at home. I think SDPs provide potential but I am asking the

:46:50. > :46:54.Secretary of State, instead of going on and on with marketisation, no

:46:55. > :47:06.cost benefit analysis has ever been done and no evidence of benefit from

:47:07. > :47:09.that, because that way they conceive 5 billion every year. That would

:47:10. > :47:13.have a significant impact on the date. It has been suggested we need

:47:14. > :47:17.to bring solutions. I am offering the ones I can think of from

:47:18. > :47:22.Scotland and they recommending them to the Secretary of State. It is a

:47:23. > :47:27.pleasure to follow my right honourable friend from central

:47:28. > :47:31.earshot. I want to look at the current financial position, trying

:47:32. > :47:40.to agree a settlement for the future in the house rather than having such

:47:41. > :47:47.controversial debates. -- Ayrshire. Adding an extra year, 2014/15. But

:47:48. > :47:53.also by transferring budgets to NHS England, and when the Secretary of

:47:54. > :47:58.State refers to the NHS, it is actually NHS England, not including

:47:59. > :48:03.public Els, public health education England. But these are crucial to be

:48:04. > :48:08.considered. When we are talking about transferring public money from

:48:09. > :48:12.public Els to NHS England, what we mean is cutting off the ability to

:48:13. > :48:18.control the increase in future demand as my great honourable friend

:48:19. > :48:22.has already referred to, these are significant challenges that are not

:48:23. > :48:28.going to be addressed unless we invest. And also these are

:48:29. > :48:32.front-line services. We can talk about public health as though it is

:48:33. > :48:39.not front-line care, but it is, we are talking about addiction, sexual

:48:40. > :48:44.health services and important costs for the NHS. But also the challenge

:48:45. > :48:49.of health education England, the budget. These are front-line

:48:50. > :48:53.services. Think about the 5 billion budget for him the education

:48:54. > :48:59.England, 3.5 of that goes directly to the wages of Hill service doctors

:49:00. > :49:06.in training, but deliver in front-line services. But again, cut

:49:07. > :49:11.off from future sustainability because this is the budget that

:49:12. > :49:16.sustains the existing workforce. It is crucial to front-line services.

:49:17. > :49:22.The other way that the 10 billion is arrived at is by changing the

:49:23. > :49:25.baseline from which we calculate the increases. And it has never been

:49:26. > :49:33.more important than it is just now for the public to have confidence in

:49:34. > :49:37.the data they use. So trying to get us to think about total health

:49:38. > :49:42.spending, that is not being awkward but honest with the public. And

:49:43. > :49:47.also, if you are arguing for more funding for health and social care,

:49:48. > :49:54.it is difficult to argue that is necessary if one has put out a

:49:55. > :49:57.figure, the 10 billion increase. It is important that we continue to use

:49:58. > :50:02.the consistent bass lines that have been used in the past so that the

:50:03. > :50:09.public can see what has happened. I am welcoming the fact that the NHS

:50:10. > :50:18.has been relatively protected computer and -- compared to other

:50:19. > :50:21.departments. But when Simon Stephens talked about welcoming the increase

:50:22. > :50:29.that was granted he was clear at the time that this was dependent also on

:50:30. > :50:33.the fair settlement for social care, and radical groups for public

:50:34. > :50:38.service. Those two aspects have been lacking. I think both sides are

:50:39. > :50:43.correct. I can see why the Secretary of State has arrived at the figure

:50:44. > :50:50.of 10 billion but alongside that, whenever that has been used we

:50:51. > :50:53.should also present the figure refers to of total health spending

:50:54. > :50:57.because it has been in the past. I think that would help build the case

:50:58. > :51:03.for an increase in funding going forward. I hope that as others have

:51:04. > :51:09.commented at the Autumn Statement we have the uplift for social care,

:51:10. > :51:15.because its impact on the NHS is profound. You cannot have a member

:51:16. > :51:20.in this phase, with an surgeries, people coming to see them, and the

:51:21. > :51:28.state of the care system has been a collapse. Even those who can afford

:51:29. > :51:31.to pay can find it difficult. In my constituency, some villages have no

:51:32. > :51:35.social care available because private providers cannot afford to

:51:36. > :51:39.deliver that. I wonder if the right honourable lady as chair of the

:51:40. > :51:40.select committee knows if that happens at other parts of the

:51:41. > :51:48.country? We know it does, and we know from

:51:49. > :51:55.the sea QC report that they see social care is being at a tipping

:51:56. > :51:59.point, in a fragile state. We all it -- we owe it to our constituents to

:52:00. > :52:06.agree where we go from here. Many have proposed a Royal commission for

:52:07. > :52:11.looking at sustainability. I would say we have had those, setting out

:52:12. > :52:14.what the options are. In the other place, they are looking at our

:52:15. > :52:19.future sustainability, all the options. I would urge colleagues

:52:20. > :52:25.across the house, rather than having a confrontational debate

:52:26. > :52:30.continually, to agree the best way forward is for all parties to agree

:52:31. > :52:33.that this is an enormous challenge. My personal belief is, we should

:52:34. > :52:37.stick with our current, very equitable system of state funding of

:52:38. > :52:42.the NHS, look at the various options in front of us, and agree between us

:52:43. > :52:49.that we need to address this. We can't keep ducking it. We owe this

:52:50. > :52:53.to all of our constituents to have a much more constructive tone in the

:52:54. > :52:59.debate. It was reiterated today in the National Audit Office report

:53:00. > :53:04.that the current position is simply unsustainable. And we can continue,

:53:05. > :53:09.as I say, to just be shouting across the chamber about how much is spent.

:53:10. > :53:14.We know this will be a challenge, whoever is in power, so I would urge

:53:15. > :53:18.all colleagues to focus instead on a different approach. Yes, there is

:53:19. > :53:22.more that can be done within the NHS. I'm afraid the elastic is

:53:23. > :53:26.stretched far too tight for social care to make any more efficiencies,

:53:27. > :53:35.in my view, and we now need to work together to see how we can fund

:53:36. > :53:38.this. The NHS in Wirral is facing its greatest crisis, which is why I

:53:39. > :53:46.am grateful to be called in the debate. Cheshire and Merseyside's

:53:47. > :53:51.so-called sustainability plan was published last Wednesday, and it is

:53:52. > :53:55.shocking in its complacency, Orwellian in its language, and

:53:56. > :53:58.potentially devastating in its consequences. The Secretary of State

:53:59. > :54:03.has described these plans as open and transparent, but Wirral and

:54:04. > :54:07.Merseyside Council has had zero involvement in this plan. The first

:54:08. > :54:12.they knew about it was when it was posted on the NHS website last

:54:13. > :54:17.Wednesday. I want to make three quick observations about the flaws

:54:18. > :54:22.in the STP process which have become increasingly apparent. The first

:54:23. > :54:28.concern is that the NHS has been starved of money, so these plans are

:54:29. > :54:34.more about putting the finances than reconfiguring the services. Second,

:54:35. > :54:39.this has been a top down process, organised in a very secretive way by

:54:40. > :54:43.the NHS. Third, the extremely tight deadlines imposed on the process

:54:44. > :54:48.make it impossible to achieve any meaningful consultation or public

:54:49. > :54:52.involvement. Let me turn to the plans which have been developed for

:54:53. > :54:57.Merseyside and Cheshire, and the effects they will have on the

:54:58. > :55:00.services in Wirral. The plan was published on Wednesday, confirming

:55:01. > :55:03.that our local herbal -- health services have been massively

:55:04. > :55:09.underfunded to the tune of ?1 billion. Far from providing the

:55:10. > :55:14.appropriate resources to meet patient needs, the plan sets out

:55:15. > :55:17.massive cuts. It confirms the existence of entirely new meanings

:55:18. > :55:22.for familiar words and phrases in the English language, as well as

:55:23. > :55:28.elevating management gobbledygook to a high art form. In NHS speak, we

:55:29. > :55:32.now know that sustainability means closing all deficits in Merseyside

:55:33. > :55:36.and Cheshire, which means ?1 billion of cuts. Openness and transparency

:55:37. > :55:49.means developing these plans in secret and totalisation -- total

:55:50. > :55:53.isolation... Sustainable is gobbledygook for mergers and the

:55:54. > :55:58.downgrading of A The report aims to make these savings by merging

:55:59. > :56:02.existing hospitals across the region, downgrading A services,

:56:03. > :56:06.cutting access to maternity provision, and it makes the heroic

:56:07. > :56:11.assumption that if care is provided closer to home, services will become

:56:12. > :56:16.cheaper and demand will go down. The report is silent on the future for

:56:17. > :56:22.Wirral acute services, despite its ominous observation that there needs

:56:23. > :56:25.to be a review to determine future options for hospital

:56:26. > :56:29.reconfiguration. But Wirral health trust's annual report let the cat

:56:30. > :56:34.out of the bag when it confirmed that the merger of Arab Park and

:56:35. > :56:39.parts of clatter bridge and the Countess of Chester is currently

:56:40. > :56:42.being considered. It would leave Wirral devoid of any acute service

:56:43. > :56:47.and the believe my constituents with increasingly difficult journeys to

:56:48. > :56:51.access acute care at all. It is a fact that Wirral local authority has

:56:52. > :56:56.had zero opportunity to be involved in the development of the plans,

:56:57. > :57:03.despite the NHS planning guidelines for STPs asking those NHS managers

:57:04. > :57:08.to develop -- those managers developing them to engage with

:57:09. > :57:11.partners. It is a fact that the proposals contained within it are

:57:12. > :57:18.unacceptable. The NHS needs more funding urgently. The STP process

:57:19. > :57:20.must be slowed down so that there can be meaningful consultation, and

:57:21. > :57:26.the Government should end the top-down planning in secret and open

:57:27. > :57:31.up the process to involve the public and patients in their local

:57:32. > :57:34.communities, and other statutory authorities and staff. That is why,

:57:35. > :57:39.Madam Deputy Speaker, I have launched a petition to as the

:57:40. > :57:43.Government to press the pause button on these plans so that they can be

:57:44. > :57:51.properly considered by patients, the public and staff. It can be found at

:57:52. > :57:56.www. SaveWirral. NHS .com. Please visit and sign the petition.

:57:57. > :58:04.Together, we have to fight to save Wirral NHS. After that public

:58:05. > :58:15.service announcement, it is a limit of four minutes. Thank you, Madam

:58:16. > :58:18.Deputy Speaker. I want to make five proposals. First, prevention, which

:58:19. > :58:24.we haven't heard nearly enough about in this debate so far today. It is

:58:25. > :58:28.wholly unacceptable that a third of our children at the age of 11 are

:58:29. > :58:36.now obese. We learned today that many children are consuming a bath

:58:37. > :58:47.full of fizzy drinks every year. We know that the global matrix of

:58:48. > :58:53.fitness puts England and Wales as poor and Scotland as even poorer.

:58:54. > :58:57.One way to improve things is to extend the excellent work of Saint

:58:58. > :59:03.Ninian 's primary School in Stirling who pioneered the use of the daily

:59:04. > :59:08.mile, where all children run or walk one-mile at some point during the

:59:09. > :59:14.day. This has had dramatic results in that school. Not one of the 57

:59:15. > :59:19.children is overweight. A significant reduction in coughs and

:59:20. > :59:23.colds improvement in mental as well as physical well-being, and it has

:59:24. > :59:27.been taken up across the Netherlands and Belgium. I would like to see a

:59:28. > :59:33.lot more of it across our country. Second, on the issue of self-care,

:59:34. > :59:41.there is a huge amount we need to do in terms of health literacy. I would

:59:42. > :59:43.commend members to look at the report of the all-party

:59:44. > :59:49.Parliamentary group on primary care and public health that came out in

:59:50. > :59:55.March this year, which showed that in 2014 33.7 million visits to A

:59:56. > :00:01.for self treatable conditions, and 52 million visits to GPs each year

:00:02. > :00:05.as well, also for self treatable conditions. It is estimated that if

:00:06. > :00:09.we could deal with that and people went to the appropriate place, we

:00:10. > :00:14.would save over ?2 billion per year for the NHS. In terms of

:00:15. > :00:23.gatekeeping, my third point, in our hospitals, I would commend the

:00:24. > :00:27.initiative taken in Scotland, where having senior consultant input in

:00:28. > :00:36.A led to a reduction of 30% in acute surgical admissions. My own

:00:37. > :00:40.local hospital has also introduced a similar methodology for patients

:00:41. > :00:45.with acute conditions, which is bearing fruit. Thirdly, in terms of

:00:46. > :00:52.quality, which again, we haven't heard enough about in terms of this

:00:53. > :01:01.debate, I would urge members to look more fully at the work of the

:01:02. > :01:05.Getting It Right First Time initiative. It started in

:01:06. > :01:12.orthopaedics, and the Government estimate that will save ?1.5 billion

:01:13. > :01:15.per year. It is not just a financial saving, it is about better outcomes

:01:16. > :01:19.for patients who in some cases may have been given the wrong operation,

:01:20. > :01:28.had poor quality and had to have significant revisions. That project

:01:29. > :01:32.is getting data across the country. Following oral and facial cancer

:01:33. > :01:39.surgery, the rate of return for another procedure within 90 days, we

:01:40. > :01:43.know, varies from 8.3% in some hospitals to over 80% in others.

:01:44. > :01:48.That degree of variation is simply unacceptable, and if we could get a

:01:49. > :01:56.higher level of quality, much better outcomes for patients, as well as

:01:57. > :02:02.saving money to the NHS. Finally, an enhanced recovery programmes such as

:02:03. > :02:05.the one in South Warwickshire, has led to significant increases in

:02:06. > :02:08.productivity, with better outcomes for patients, and we need to see

:02:09. > :02:16.much more of that across the whole of the country. The South West

:02:17. > :02:24.London five-year forward plan published last week states its

:02:25. > :02:30.intention to save a staggering ?828 million by 2020. Their contribution

:02:31. > :02:33.to the attempted national savings of ?22 billion by 2020. This draft

:02:34. > :02:37.sustainability and transformation plan published by the Southwest

:02:38. > :02:43.London partnership doesn't shed very much light on how they are actually

:02:44. > :02:50.going to manage that. Other than by reducing A attendance by 40% in

:02:51. > :02:53.three years. This is a totally implausible aim, given it has not

:02:54. > :03:00.been achieved by any health system in the world, let alone one that is

:03:01. > :03:04.cash strapped. This unsustainable ambition brings us to the

:03:05. > :03:09.long-standing proposal which has been so often denied, to reduce the

:03:10. > :03:13.year -- to reduce the number of acute hospitals in south-west London

:03:14. > :03:21.from five to four, even, God help us, three. It includes Saint

:03:22. > :03:25.Georges, Croydon, Epsom and St Helier, which I have been fighting

:03:26. > :03:29.from closure for the last 18 years. We know that these five acute

:03:30. > :03:33.hospitals, Saint Georges Hospital will rightly be protected from

:03:34. > :03:38.closure. It is also clear it is unlikely to be Croydon University

:03:39. > :03:43.Hospital or Kingston, which leaves us just St Helier or Epsom, both of

:03:44. > :03:46.which have been under threat before. No amount of vaguely worded

:03:47. > :03:53.statements from the partnership will change the fact that the intention

:03:54. > :03:56.is to close St Helier. It was stated, we need to review our Acute

:03:57. > :04:01.Hospital to make sure we meet the changing demands of our population,

:04:02. > :04:05.and to ensure that acute providers provide high-quality, efficient

:04:06. > :04:09.care. We will need four Acute Hospital site in south-west London

:04:10. > :04:14.and will undertake further work, including analysis of revenue

:04:15. > :04:18.implications, on three, four and five site options. Not only will one

:04:19. > :04:29.acute site definitely close, but commissioners are considering the

:04:30. > :04:33.closure of two site. St Helier's closure was the main recommendation

:04:34. > :04:36.in 2011, but this by colleagues on the Government benches, including

:04:37. > :04:41.the honourable members for both Wimbledon and Twickenham, have been

:04:42. > :04:46.taken in by the peddling of the myth that no hospitals will close. When

:04:47. > :04:50.is a closure a closure? If you remove maternity and A from a

:04:51. > :04:54.hospital, all the associated diagnostics and other services, is

:04:55. > :04:59.that not a closure? To me, that is precisely what it is. I would like

:05:00. > :05:03.to make it clear to this House, the Government, the partnership and more

:05:04. > :05:08.importantly, to my constituents, that we have come together as before

:05:09. > :05:12.as a community, to fight the closure of Saint Helly hospital, and we will

:05:13. > :05:18.do it again. We will do it again, not only for the people who use it,

:05:19. > :05:21.but for the people who use every hospital in south-west London,

:05:22. > :05:28.because the closure of St Helier means the undermining of all those

:05:29. > :05:34.other hospitals. I would like to start by commending all the

:05:35. > :05:38.hard-working people within the NHS - doctors and nurses - and for the

:05:39. > :05:42.increase in activity in our NHS over the past several years. The NHS has

:05:43. > :05:47.never worked harder, we have never seen so many patients treated in our

:05:48. > :05:52.NHS, and standards are certainly improving, but I think we have to

:05:53. > :06:01.face up to the fact that in this is of morbidity and mortality are poor

:06:02. > :06:10.-- the index. I am not satisfied with comparing the UK with the OECD

:06:11. > :06:14.average. We should compare ourselves to countries like France, Germany,

:06:15. > :06:21.Holland, Belgium and Denmark, where I'm afraid, our record, our

:06:22. > :06:27.performance, is behind the curve. That's the challenge. Unlike my

:06:28. > :06:32.honourable friend, the member for Totnes, I am cautious about this

:06:33. > :06:36.figure of 10 billion. I urge some clarity around this on the front

:06:37. > :06:41.bench. We need to make it very clear what this actually is. I commend the

:06:42. > :06:45.Government for spending this level of money on our NHS, despite the

:06:46. > :06:51.opposition from the benches opposite. If we are to a debate that

:06:52. > :06:55.is collaborative and collegiate, I think we need to have a level of

:06:56. > :06:58.humility from the benches opposite on this particular point, since it

:06:59. > :07:02.is undoubtedly the case that that figure was opposed at the last

:07:03. > :07:07.general election by Labour. We need to understand what 10 billion isn't

:07:08. > :07:14.what it isn't. According to the Nuffield trust and the King 's fund

:07:15. > :07:22.is more likely 4.5 billion. The reason for that was elegantly laid

:07:23. > :07:26.out by my honourable friend, using a baseline based on prices. Whether or

:07:27. > :07:31.not you include or exclude the money that has been removed from the

:07:32. > :07:33.public health function of local Government, and from health

:07:34. > :07:38.education England. I would contend, and I think she would, those monies

:07:39. > :07:42.need to be included in the sum total of health care in this country, and

:07:43. > :07:44.that is what our constituents would understand. That figure seems to me

:07:45. > :07:59.to more reasonable. I am also worried about the 22

:08:00. > :08:04.billion of savings, that the five-year forward view was based on.

:08:05. > :08:11.This is not likely to result in anything like 22 billion. The

:08:12. > :08:18.savings, tested, that is just polite speak for non-achievable. We know

:08:19. > :08:22.that from the transfer from capital to revenue and the sustainability

:08:23. > :08:27.element and transformation fund, that is not sustainable in the

:08:28. > :08:37.long-term. We do not want to rely on the sustainability. Tomorrow we must

:08:38. > :08:43.look for the big cash injection, and then we need a long-term submission,

:08:44. > :08:49.perhaps not royal commission because they take forever. But we need the

:08:50. > :08:54.commission, having debate about how we pay for the health service given

:08:55. > :09:02.the pressures. And the end to the triple lock. That could save 2.1

:09:03. > :09:12.billion by 2021. And then the interest of generational fairness,

:09:13. > :09:22.Devon, -- given that the elderly use the most, we need to do all of this

:09:23. > :09:28.with an the the NHS that is free at the point of need. Thank you Madam

:09:29. > :09:35.Deputy Speaker. I have found the points that he made particularly

:09:36. > :09:40.interesting. Long suspected proposals to downgrade Darlington

:09:41. > :09:45.Memorial Hospital, confirmed by the leak of the transformation plan by

:09:46. > :09:50.Hartlepool Council. I am grateful to this counsel for allowing the

:09:51. > :09:56.document to enter the public domain. Darlington Memorial service

:09:57. > :10:01.Darlington itself, population of about 100,000 but also serves

:10:02. > :10:07.communities, from Durham, Yorkshire, beyond. Darlington is the closest

:10:08. > :10:17.major town and I believe it is the largest army base in Europe, set to

:10:18. > :10:23.expand. Hospitals have already been downgraded, changes are emergency

:10:24. > :10:27.cover and maternity. And Windows changes were made, in the face of

:10:28. > :10:32.enormous local opposition, residents had been given assurances that

:10:33. > :10:39.Darlington was going to be seen. Darlington Memorial is special to

:10:40. > :10:48.me, and maybe even more so for my constituents. I make no apologies.

:10:49. > :10:49.Both of my parents were nurses, and we lived in the accommodation at the

:10:50. > :11:05.hospital. My dad died at the hospital. My two

:11:06. > :11:07.sons were born at the hospital, making regular and unexpected use of

:11:08. > :11:12.the services. Some benefit to centralisation, I absolutely support

:11:13. > :11:15.clinically driven decision-making and when cardiac services were

:11:16. > :11:22.removed from Darlington to Middlesbrough, no campaign. It was

:11:23. > :11:29.the correct choice for patients and I supported it. Major trauma already

:11:30. > :11:34.at Middlesbrough but the argument is about centralising services when you

:11:35. > :11:39.do not have problems with it comes, or the clinical game for patients.

:11:40. > :11:45.It is wrong. And another concern is the amount of money being spent on

:11:46. > :11:48.engagement activity with the local community to explain the plans of

:11:49. > :11:54.downgrading and find out what the residents think. With written

:11:55. > :11:58.Parliamentary questions, I have found that ?4.6 million has so far

:11:59. > :12:05.been spent on such activities. This is a disgrace. Those responsible

:12:06. > :12:10.should be held to account. They have wasted the public money. And

:12:11. > :12:16.misleading them, nothing to show for it. In recent months a campaign to

:12:17. > :12:20.save Darlington hospital has been growing. They have been out,

:12:21. > :12:27.knocking doors, having coffee mornings, doing that for free.

:12:28. > :12:33.Engaging 6000 people, doing a better job of engaging the public and doing

:12:34. > :12:36.that for absolutely nothing. No clinical case for downgrading

:12:37. > :12:40.services at Darlington hospital, everybody knows that and that is why

:12:41. > :12:43.they are taking so much time and money trying to make up something to

:12:44. > :12:53.persuade patients this is a good idea. And the SDP describing my

:12:54. > :13:00.constituents as passive recipients, it is not helping. The trouble, the

:13:01. > :13:04.nirvana that the SDP tries to support, as of yet unquantifiable

:13:05. > :13:09.amounts of upfront spending and it is not going to be achievable. I

:13:10. > :13:15.have an attachment to my local hospital. It goes beyond, but I

:13:16. > :13:20.understand enough about how this process is unravelling to know that

:13:21. > :13:27.the staff at Darlington Memorial Hospital and patience, my

:13:28. > :13:31.constituents, deserve better. The National health service is and

:13:32. > :13:41.always has been valued and cherished by my constituents. They expect care

:13:42. > :13:47.to be provided free at the point of use. We are all deeply committed to

:13:48. > :13:53.the future of the NHS, so long as it can continue to provide the quality

:13:54. > :13:56.of care, and it cannot stand still and needs to transform the way that

:13:57. > :14:05.it delivers services so that increased resources lead to better

:14:06. > :14:10.care for patients. As a proportion of total government spending, it has

:14:11. > :14:21.increased in every single year since 2010. Spending is now 10.1% higher

:14:22. > :14:24.per head in real terms than 2010, and this has brought him spending

:14:25. > :14:30.broadly in line with Western European neighbours. In order to

:14:31. > :14:37.achieve best value from resources and the lover of the 22 billion of

:14:38. > :14:42.efficiency savings, the savings that the NHS itself has identified as

:14:43. > :14:48.achievable, it is necessary to reconfigure the way that Hill and

:14:49. > :14:56.social services are the local level. This issue is huge. And in my

:14:57. > :15:05.opinion, until we amalgamate the social care budget with the health

:15:06. > :15:10.budget, to deliver their health reference service -- driven service,

:15:11. > :15:18.we will struggle. I mention this not to cause controversy but highlight

:15:19. > :15:27.decisions coming ahead. Local politics and empire protections over

:15:28. > :15:33.budgets, hamper sustainability. A few weeks ago, the plan was

:15:34. > :15:38.published, sitting at the ambition of the future and kill the care in

:15:39. > :15:46.the region. This was building upon a significant amount of work that has

:15:47. > :15:49.been done at the local level. These groups have been working together to

:15:50. > :15:55.address challenges, facing the economy across the area. The

:15:56. > :15:58.decision to proceed to the formal business case was met with

:15:59. > :16:02.considerable concern from some members of the public who have been

:16:03. > :16:10.vociferous in opposition to what they have received to be a complete

:16:11. > :16:14.withdrawal of treatment at the Huddersfield Royal Infirmary.

:16:15. > :16:17.Although the process has been challenging, I would argue it has

:16:18. > :16:26.been absolutely essential. The current model are not sustainable.

:16:27. > :16:30.And changes are required, to ensure that we have the local health

:16:31. > :16:35.service that continues to provide excellent care. Some of the

:16:36. > :16:41.sensational media headlines from the local press and my opponents at the

:16:42. > :16:44.last general election, it can be easy to forget that these proposals

:16:45. > :16:52.are not being put forward by politicians or the government, but

:16:53. > :16:55.senior local clinicians and doctors. The people who best understand how

:16:56. > :17:04.these local health services can best be delivered. Taking an independent

:17:05. > :17:08.review, how it can directly lead to better care. And in my view, it is

:17:09. > :17:16.them that we have got to trust with the judgment. But if we are to

:17:17. > :17:21.proceed to transform the way that we deliver care, we have to improve the

:17:22. > :17:27.way that we communicate any proposed changes and not keep scaremongering

:17:28. > :17:32.about cuts. Especially when the annual NHS budget spent has been

:17:33. > :17:37.increasing in real terms. Thank you. I want to talk about the Mel seaside

:17:38. > :17:47.sustainability and transformation plan. The documents relating to

:17:48. > :17:57.that. -- Merseyside. The plans are just feel of this unrealistic news

:17:58. > :17:59.speak as feared. It was drawn up by managers in secrecy, already

:18:00. > :18:07.implemented without any of the affected stakeholders and without

:18:08. > :18:16.the people of Cheshire and Merseyshire being asked what they

:18:17. > :18:21.think. We would see the hospitals being reconfigured, amalgamated at a

:18:22. > :18:24.later date. It is planned to be rebuilt new to the Royal. But no

:18:25. > :18:30.money available for the new building. The plans have entailed

:18:31. > :18:37.the downgrading of hospital services, where many of my

:18:38. > :18:43.constituents go. Some combination of all of them. Details not provided.

:18:44. > :18:46.These shocking cuts have little chance of being accepted and this is

:18:47. > :18:53.for a number of reason. It is absolutely apparent that the

:18:54. > :18:56.Cheshire and Merseyshire SDP has been financially driven. This has

:18:57. > :19:03.been admitted by those who drew it up. It has been accepted in an

:19:04. > :19:08.interview in the Liverpool Echo. When asked what would happen, if

:19:09. > :19:11.these changes were not made, they would not have enough money to run

:19:12. > :19:17.the services, this is about managing rather than letting it happen. When

:19:18. > :19:23.asked about cuts, she said that the financial component has been a

:19:24. > :19:27.strong driver. The report, entitled sustainability plans for the NHS,

:19:28. > :19:33.they have said that the original purpose of the SDP was to improve

:19:34. > :19:37.efficiency of services. The emphasis from National NHS bodies has shifted

:19:38. > :19:43.over time to focus more heavily on how they can bring the NHS into

:19:44. > :19:51.financial balance. We can see this from the answers. The SDP has to do

:19:52. > :19:54.with the pressure of almost ?1 billion gap. Making cuts in spending

:19:55. > :20:00.to meet financial requirements is what is at the centre of these

:20:01. > :20:09.plans. The people of Merseyshire, not deaf. They see this. The

:20:10. > :20:15.Cheshire and Merseyshire SDP requires capital funding no longer

:20:16. > :20:24.available. In Liverpool, the deficit of the hospitals is estimated to be

:20:25. > :20:26.276.5 million. In the Liverpool Echo interview, it was suggested that the

:20:27. > :20:37.City Council would provide the capital funding. I thank my right

:20:38. > :20:42.honourable friend. The Wirral Borough Council was not asked to

:20:43. > :20:49.participate at all. Was the Liverpool authorities? Neither

:20:50. > :20:55.Liverpool, has been consulted at all about these plans. But when asked

:20:56. > :20:58.about the money for the new hospital, it was said that limited

:20:59. > :21:05.capital was available but options to explore. Councils can access

:21:06. > :21:10.borrowing at a cheap rate. Liverpool City Council is expected to stump up

:21:11. > :21:14.the money for what is supposed to be an important part of the strategy,

:21:15. > :21:21.the woman's hospital. But this is the same council that has had 58% of

:21:22. > :21:25.the money removed, by the Liberal Democrat and Conservative coalition

:21:26. > :21:32.and in the Tory government since 2010. It relies on almost 75% from

:21:33. > :21:36.government grants. The same council that already spends money on adult

:21:37. > :21:41.services for the ageing population but can't raise only 147 million

:21:42. > :21:45.from council tax. The same council that is expected to find another 90

:21:46. > :21:51.million savings over the next few years. Facing some of the biggest

:21:52. > :21:57.choices to balance the budget. My second point is this. These plans

:21:58. > :22:02.have been drawn up in secrecy by NHS managers and without consultation

:22:03. > :22:09.from those supposed to help. Neither the Borough councils have been asked

:22:10. > :22:14.what they think. And consequently, they have both said unsurprisingly

:22:15. > :22:16.they are opposed to these plans. In Liverpool, the ruling Labour club

:22:17. > :22:21.has made it clear that they are going to oppose the SDP with cuts,

:22:22. > :22:25.and the mayor has said publicly that he opposes the closure of the

:22:26. > :22:30.woman's hospital and is going to campaign to keep the hospital. I

:22:31. > :22:37.agree with them. Labour in Liverpool is only going to support

:22:38. > :22:43.The current plans are being implemented, and that is another

:22:44. > :22:50.thing that we cannot allow to go ahead without proper consultation.

:22:51. > :22:55.Is the starting point I would like to come from is that funding in the

:22:56. > :23:00.NHS must be used effectively and efficiently, and to that end, we are

:23:01. > :23:03.expecting the NHS to deliver savings to deliver best value for money.

:23:04. > :23:09.There are a number of issues relating to social care in the NHS

:23:10. > :23:13.where there is scope for solving existing problems, ensuring that

:23:14. > :23:20.better health care is delivered, and achieving sustainability. There is

:23:21. > :23:33.no better place to start and did -- than bed blocking.

:23:34. > :23:40.It decreases the availability of beds and has effects on patients,

:23:41. > :23:44.particularly the elderly. In continence in over 65s increases,

:23:45. > :23:52.and another 80s muscle wastage becomes equivalent to ten years of

:23:53. > :23:58.muscle wastage in those situations. By September, the figure had reduced

:23:59. > :24:06.to 113 people, improving the county performance to 108th, and massive

:24:07. > :24:18.improvement of 50 places -- a massive improvement. It involved the

:24:19. > :24:25.County Council and health providers working with people. It was also

:24:26. > :24:30.achieved by putting 2 million into funding extra temporary care beds in

:24:31. > :24:35.care homes where people could stay until they were ready to move back

:24:36. > :24:38.to their own homes or move to a permanent care home, or receive care

:24:39. > :24:43.in their own homes. That is something I would encourage, more

:24:44. > :24:52.joint and positive thinking as we integrate social care and the NHS.

:24:53. > :24:57.It is important... I will give way. Would my honourable friend agree

:24:58. > :25:02.with me that one of the levers for discouraging bed blocking would be

:25:03. > :25:09.to join up some of those budgets around health and social care as

:25:10. > :25:12.well as health, social services? I agree with that, and that is what

:25:13. > :25:20.the organisations in Oxfordshire had been trying to achieve. Second, in

:25:21. > :25:30.relation to how we produce better hospitals, in my own area, a

:25:31. > :25:34.hospital in Henley operates for the whole of South Oxfordshire and has

:25:35. > :25:41.recently gone through a major re-provision. This is a hospital

:25:42. > :25:45.that has an increased number of facilities serving a population of

:25:46. > :25:53.the area, but the beds are not in the hospital. Although they are

:25:54. > :26:04.limited in number, they are in an adjoining care home. This is the way

:26:05. > :26:06.forward for local hospitals - better treatment of people in their home

:26:07. > :26:14.through a system of what has come to be called... It saves the problems

:26:15. > :26:18.already mentioned in relation to patients suffering when they stay in

:26:19. > :26:21.hospital for a long time. It is not a view that has come from

:26:22. > :26:28.politicians but from clinicians, both local and national. The

:26:29. > :26:33.National clinicians are the Royal College of physicians, who are fully

:26:34. > :26:37.behind this process. Actually, in the first instance, this is a method

:26:38. > :26:45.that costs more but provides better value for money and increases

:26:46. > :26:53.patient outcomes. The third area I would point to in this is what can

:26:54. > :26:56.happen when you integrate the care, the star providing care that implied

:26:57. > :27:02.by the County Council and employed by the NHS, and what this allows you

:27:03. > :27:07.to do is to make sure that pay and service requirements for both groups

:27:08. > :27:17.of people doing exactly the same job can be harmonised in a much more

:27:18. > :27:21.positive way. I think that set out a good scope of efficiency in the

:27:22. > :27:25.operation of social care and the NHS model. I agree with my honourable

:27:26. > :27:30.friend that I would like to see them fully integrated, but until they

:27:31. > :27:35.are, I have set out a very good method of being able to operate in

:27:36. > :27:43.those circumstances and being able to cooperate in order to achieve the

:27:44. > :27:47.outcomes I have mentioned. Briefly, on sustainability and transformation

:27:48. > :27:50.plans, they focus on organisations working together and are the best

:27:51. > :27:54.hope of improving health and social care services in the long term.

:27:55. > :27:59.That's not my view but the view of the King 's fund, when they looked

:28:00. > :28:03.at sustainability and transformation plans, and I fully agree with their

:28:04. > :28:09.assessment of the situation and of these plans, which they, too, are

:28:10. > :28:15.working towards achieving the same outcomes. The funding crisis in the

:28:16. > :28:19.NHS is no accident. It is a political choice made by the Tories

:28:20. > :28:24.for which patients and staff are paying the price in longer waiting

:28:25. > :28:27.times, delayed operations and increasingly stressful working

:28:28. > :28:33.conditions. It is driven by the Government's demands that the NHS

:28:34. > :28:40.May 20 worth of efficiency savings, or cuts. It will cause huge damage

:28:41. > :28:45.to the NHS. A report by the Guardian announced that thousands of hospital

:28:46. > :28:54.beds are set to disappear, pregnant women will have to travel long

:28:55. > :29:00.distances to give birth. Vital services will be removed. In the 20

:29:01. > :29:07.15th financial year, the NHS reported a deficit of ?2.45 billion.

:29:08. > :29:11.We see the crisis is accelerating. The chief executive of NHS providers

:29:12. > :29:16.said last week that the NHS cannot do all that is being asked to do in

:29:17. > :29:22.future on these funding levels. The STPs are supposed to integrate

:29:23. > :29:27.social care and health, yet the leader of Wirral Council has said in

:29:28. > :29:31.the last day that he has not been given the opportunity to feed into

:29:32. > :29:36.the development of the plan. It is of great concern to constituents

:29:37. > :29:40.because it requires ?1 billion to be taken out of services. The impact

:29:41. > :29:43.will be devastating. It is impossible that it would be

:29:44. > :29:50.otherwise. There was recently a report proposing the closing of

:29:51. > :29:55.hospitals in Chester, and there has been no denial that such a report

:29:56. > :30:03.took place. It has been said the trust will explore role explore the

:30:04. > :30:13.development of a single Acute Hospital within the next 10-15

:30:14. > :30:24.years. It's not clear what will happen. I have real concerns about

:30:25. > :30:27.the future of Arrow Park Hospital, a major hospital valued by

:30:28. > :30:33.constituents who use its services and reworked there. It is a major

:30:34. > :30:36.employer in my constituency. The STP talks of reconfiguration and it is

:30:37. > :30:45.no wonder people are wrapping arms about the plans. It appears to be an

:30:46. > :30:52.idea brought from America, where there is no NHS. They have a strong

:30:53. > :30:56.emphasis on cost reduction. The core issue is England people often pay

:30:57. > :31:07.for social care but don't expect for health care except through direct

:31:08. > :31:13.taxation. It points towards a desire to introduce an insurance -based

:31:14. > :31:17.system in England. The Government is cutting the supply, I believe, to

:31:18. > :31:21.create demand for private insurance in the marketplace, such as in

:31:22. > :31:26.America. There is nothing in the STP to assure me this is not the case.

:31:27. > :31:29.The document talks of increased customer satisfaction and

:31:30. > :31:35.commercially sustainable clinical support services. If these go ahead

:31:36. > :31:37.across England, we can expect to see A closures, hospital closures,

:31:38. > :31:47.downgrading of services, patients waiting longer for services. I urge

:31:48. > :31:49.the Government to use the Autumn Statement to address the

:31:50. > :31:57.underfunding and give the funding the NHS needs. At that record level

:31:58. > :32:00.of reading into the record, I appreciate that time is short and

:32:01. > :32:05.the honourable lady wants to put these things on the record, but if

:32:06. > :32:09.she speaks more slowly, it allows other members to understand what

:32:10. > :32:15.she's saying and gives them an opportunity to intervene, and she

:32:16. > :32:25.would some extra time. Speaking for myself, I was impressed by the pace

:32:26. > :32:30.of that! I want to address the supply of practitioners, not just of

:32:31. > :32:35.money, in this short intervention, and suggest to him that since we

:32:36. > :32:38.have regulated so many more practitioners, so many more

:32:39. > :32:43.practitioners should be available in the health service. The professional

:32:44. > :32:49.standards authority chief has called for a much greater use of those on

:32:50. > :32:51.his register. He says we all know we need to deliver new, innovative ways

:32:52. > :32:56.to improve people's health will stop that means looking beyond the

:32:57. > :33:04.traditional confines of our traditional system and the

:33:05. > :33:07.traditional health professions. His 23 organisations regulate 20,000

:33:08. > :33:12.practitioners, and the organisations include the fur denigration of

:33:13. > :33:31.holistic therapies, the acupuncture Council and others. -- the

:33:32. > :33:33.Association of holistic therapists. There is far too little

:33:34. > :33:40.communication with orthopaedic surgeons. There is an organisation

:33:41. > :33:45.called arthritis and musculoskeletal Alliance, and I would ask my

:33:46. > :33:52.honourable friend to look at this and see how much more effective

:33:53. > :33:55.integration can be done. Now that nice recommend acupuncture for lower

:33:56. > :33:59.back pain, I hope they will continue to do so. The third point is Brexit.

:34:00. > :34:06.We have the European legislation to consider. Three directives need

:34:07. > :34:10.close scrutiny when we take them over - the traditional herbal

:34:11. > :34:19.medicines has struck out traditional Chinese medicines and others, the

:34:20. > :34:21.food supplements directive, the food additives directive. Tougher

:34:22. > :34:24.regulation will be needed when we get our hands on those. The Chief

:34:25. > :34:31.Medical Officer wrote a report in the last Parliament about

:34:32. > :34:35.antimicrobial resistance. One of the most effective ways to stop

:34:36. > :34:38.antibiotic use is to use homoeopathic medicine, which has a

:34:39. > :34:45.proven record in upper respiratory tract illness. We need to go back to

:34:46. > :34:48.the 90s to look at the GP fundholding system which was

:34:49. > :34:56.available in John Major's Government, fire doctors could

:34:57. > :35:01.commission practitioners. At one clinic, using homoeopathic

:35:02. > :35:05.treatments, they saved ?500,000 overall. When that the struck out by

:35:06. > :35:10.the new Labour Government, they overspent the drug budget by ?1.5

:35:11. > :35:14.million. There have been a lot of attacks in the last few years on

:35:15. > :35:20.homoeopathic, which has been an honourable and well served practice

:35:21. > :35:26.of medicine with its own doctors regulated in this country and used

:35:27. > :35:30.in 41 out of 42 European countries. An organisation called the good

:35:31. > :35:36.thinking society, which is really one man and a dog, which spends

:35:37. > :35:43.?100,000 a year, ?20,000 of which is from the taxpayer, through its

:35:44. > :35:46.charitable status, which I think is a scandal. I say to my honourable

:35:47. > :35:55.friend that he should not listen to the siren voices of this small,

:35:56. > :36:00.badly representative group. We need to use this discipline and not allow

:36:01. > :36:05.lawyers sending letters to clinical commissioning groups and others to

:36:06. > :36:07.derail a very well established and popular system of medicine available

:36:08. > :36:17.in the health service, that is, patio medicine. -- that is

:36:18. > :36:20.homoeopathic medicine. All the wrong reasons, St George 's Hospital in

:36:21. > :36:24.tooting has been in the news. First, they appeared on the front page of a

:36:25. > :36:28.national newspaper because they require people to show ID before

:36:29. > :36:32.coming and giving birth. Secondly, they were rated inadequate in a

:36:33. > :36:37.recent Care Quality Commission inspection. Figures were released

:36:38. > :36:40.showing one patient wanted 36 hours in A before being admitted. The

:36:41. > :36:49.one question we are all asking is, why?

:36:50. > :36:59.Why are roofs leaking? Why has the council being forced to cut almost

:37:00. > :37:05.ten million from social care budgets than my local hospital trust have

:37:06. > :37:11.the deficit of 50 million? The answer, lack of funding. We should

:37:12. > :37:17.not be left with them minimum to function. We should be prioritising.

:37:18. > :37:24.It is their health care system, Madam Deputy Speaker, we cannot take

:37:25. > :37:30.risks. If we take risks, people die. The Health Secretary can point the

:37:31. > :37:36.finger but it is not doctors, who go the extra mile, it is not trainees,

:37:37. > :37:47.who have had bursaries slashed, it is the Conservative government to

:37:48. > :37:55.blame. I have worked at the different governments, staff morale

:37:56. > :38:01.at an all time low, patient morale at an all time low, and this

:38:02. > :38:10.government has been failing patients. You know it. This story is

:38:11. > :38:15.not a one off. It is happening up and down the country. When Labour

:38:16. > :38:20.was in government, it was a truly national health service, more

:38:21. > :38:27.doctors better equipment, new hospitals and happier patients. But

:38:28. > :38:34.under this Conservative government, waiting times are rising, buildings

:38:35. > :38:42.falling apart and patients' lives at risk. Life and death decisions based

:38:43. > :38:48.on cost. The NHS is in crisis and it is becoming a disaster before our

:38:49. > :38:53.eyes. The NHS was built by a Labour government, saved by a Labour

:38:54. > :38:59.government and it is going to be a Labour government that is going to

:39:00. > :39:04.rescue it. Thank you very much Madam Deputy Speaker. I am pleased to be

:39:05. > :39:07.able to pick up from the right honourable lady. I find it

:39:08. > :39:11.extraordinary that Labour members have the audacity to come to this

:39:12. > :39:16.chamber and trumpet opinions about the NHS when they have had 18 years

:39:17. > :39:20.of running the national Health Service at another part of the

:39:21. > :39:26.United Kingdom and the performance indicators that looked at, NHS at

:39:27. > :39:32.Wales has been performing less well than England. I do not want for one

:39:33. > :39:42.minute people to think that I'm criticising NHS staff, and not

:39:43. > :39:46.running down Wales either, I know where the blame lies. The Labour

:39:47. > :39:50.Party, implementing the same policies that they are calling on my

:39:51. > :39:56.right honourable friend to implement. You can simply get hold

:39:57. > :40:02.of the Nuffield Trust report, and how these compare. This is an

:40:03. > :40:08.independent report looking at a range of indicators. It is far

:40:09. > :40:13.stronger than anything the Conservative Party could even

:40:14. > :40:21.publish. Waiting times at Wales have lengthened since 2010, striking

:40:22. > :40:26.rises in waits for common procedures such as knee replacements. When a

:40:27. > :40:31.report like this is using language such as striking rises, surely

:40:32. > :40:34.people should take notice. The striking rises are being caused by

:40:35. > :40:37.the policies that they are asking my right honourable friend to

:40:38. > :40:47.implement. It talks about the fact that mortality rates are the lowest

:40:48. > :40:53.in England. People living longer in England. It talks about waiting

:40:54. > :41:02.times. An absolute disgrace. The target waiting time of 26 weeks at

:41:03. > :41:08.Wales, just 18 in England. But this report shows that some people are

:41:09. > :41:11.waiting up to 170 days for knee replacements at Wales, as opposed to

:41:12. > :41:20.70 at England. The funding at Wales has been cut. It is the only part of

:41:21. > :41:30.the United Kingdom that has cut funding. But England, it has gone

:41:31. > :41:39.up. And the shortage of GPs. 0.66. Stroke care... Once again, Wales at

:41:40. > :41:44.the cleaning percent of patients spending maintaining percent of the

:41:45. > :41:51.team at the units, as opposed to 51% at England. England, for MRSA, again

:41:52. > :41:58.ahead of England. And he wants response team, 75% within eight

:41:59. > :42:04.minutes at England, 65% at Wales. And one of the most shocking

:42:05. > :42:06.differentials, that access to the cancer drugs, I have that

:42:07. > :42:14.constituents coming to see me because they have to go sofa surfing

:42:15. > :42:22.to get the standards of care that we on the side take for granted. And if

:42:23. > :42:28.anybody thinks that the NHS of Wales, has the policies and is as

:42:29. > :42:32.good as the English National Service, they should be allowing

:42:33. > :42:37.patients to choose. I have been asking colleagues on the front

:42:38. > :42:43.bench, allowing patients from Wales to have access. But unfortunately it

:42:44. > :42:46.is not always possible. We should have a truly national Health

:42:47. > :42:53.Service, people from Wales to be treated at England and indeed,

:42:54. > :42:57.England to Wales. But I thought that my right honourable friend is going

:42:58. > :43:02.to stick with the policies, deliver in these higher standards of care at

:43:03. > :43:06.England, because it means that my constituents have something to aim

:43:07. > :43:14.for and demand that the Labour Party at Wales can follow. A couple of the

:43:15. > :43:23.people on the list are not in the chamber, they can be written to. The

:43:24. > :43:27.last few speakers have six minutes. It is not often that you come last

:43:28. > :43:34.and get more time to speak. The speeches today, from the right

:43:35. > :43:40.honourable member have been exceptional. And we want to focus on

:43:41. > :43:45.the good things that we have at their NHS, everybody acknowledges

:43:46. > :43:54.that and the passion that comes from debating, and what constituents tell

:43:55. > :44:02.us... With my right honourable friend share concern about

:44:03. > :44:07.introduction of ACOs from STPs? These have come from America, seen

:44:08. > :44:16.as insurance for health, and because people do not pay for health care,

:44:17. > :44:21.but social care, concern about boring the boundaries. I thank the

:44:22. > :44:28.right honourable lady for that intervention. And I agree

:44:29. > :44:33.wholeheartedly. The Deputy Speaker mentioned about how fast you speak.

:44:34. > :44:38.If you are trying to take away my record, I have been told that I did

:44:39. > :44:49.more words in a minute than anybody else. I am the Hill spokesman for my

:44:50. > :44:54.house, for the DUP, and I believe that the portfolio has got to be

:44:55. > :44:58.balanced. It is the most difficult portfolio for anyone to hold, I am

:44:59. > :45:03.glad I am not in the position of the Hill Secretary of State because I

:45:04. > :45:12.would find it difficult to say that we cannot provide these drugs that

:45:13. > :45:19.could prolong your life. And the right honourable gentleman who spoke

:45:20. > :45:24.before, referred to the sofa, lottery taking place for those who

:45:25. > :45:34.need to drugs. Access I am going to talk about that in my contribution.

:45:35. > :45:46.I cannot sit back and the fact that the NHS needs more funding to keep

:45:47. > :45:51.it running. This briefing, from Macmillan Care, sent chills down my

:45:52. > :45:55.spine. By the end of this Parliament, one of every two people

:45:56. > :46:01.will be diagnosed with cancer. Somebody in this chamber, Mr Deputy

:46:02. > :46:13.Speaker, have experienced cancers and are survivors, and I am aware of

:46:14. > :46:22.what interviews. It is based on the correct diagnosis, treatment, and

:46:23. > :46:28.skill of the surgeons. Prayers of god's people. It is important. More

:46:29. > :46:32.people are surviving, living for longer with us, and because of that

:46:33. > :46:39.we have two one half million people living with, beyond cancer today.

:46:40. > :46:44.But more must be done to help those with diseases and these forms of

:46:45. > :46:48.cancer. I would ask the Minister in his summing up at the end if you

:46:49. > :46:55.could give us some idea of the resources set aside for those with

:46:56. > :47:01.diseases, rare cancer, because they have been increasing. You put them

:47:02. > :47:06.together collectively, and I know that it is not infinite but we have

:47:07. > :47:14.to have a focus on those with these rare diseases and rare cancer. I am

:47:15. > :47:20.going to mention a lady... I hope she does not mind. Tremendously

:47:21. > :47:30.courageous, from my constituency, and she has watched her son battle

:47:31. > :47:33.cancer. Only to be told that she had pancreatic cancer, no treatment at

:47:34. > :47:40.Northern Ireland. It was good to cost about ?100,000. And the people

:47:41. > :47:45.of her area dug deep to fund this. The story is replicated I would

:47:46. > :47:52.think for every member of this chamber. And the postcode lottery

:47:53. > :47:57.said that she cannot have treatment because she is from Northern Ireland

:47:58. > :48:03.but is able to access the treatment from other counties on the mainland.

:48:04. > :48:06.This lottery is not what is needed. And this is something that needs to

:48:07. > :48:13.be addressed by additional funding. She needs more than us ringing our

:48:14. > :48:18.hands, and feeling sympathetic, she needs practical and physical help.

:48:19. > :48:27.That is the only thing that will change her future, for her son.

:48:28. > :48:31.Macmillan said one in four people face disability following treatment.

:48:32. > :48:35.And this can many years. It is vital that they are able to access the

:48:36. > :48:42.best care when they need it, and to ensure that the NHS will help to

:48:43. > :48:46.meet the needs of cancer patients. This will assure us that resources

:48:47. > :48:56.invested are done in the most effective way. This is key with five

:48:57. > :48:59.year projections, and it is continued to grow to 13 billion.

:49:00. > :49:09.That is the money that is just going to stand still, not going ahead. We

:49:10. > :49:13.must act now, to ensure that this money is going to be spent as

:49:14. > :49:18.effectively as possible to give the England, the native kingdom and

:49:19. > :49:22.Northern Ireland the ability to deliver on the government manifesto

:49:23. > :49:28.commitment. The health service currently spends more than ?500

:49:29. > :49:35.million on emergency care for people, on cancer alone. If you are

:49:36. > :49:38.spending ?500 million on emergency treatment for cancer, something

:49:39. > :49:48.wrong with the system. And we have got to address that, to be

:49:49. > :49:51.effective. Such a vast amount of emergency care spending, it is

:49:52. > :50:03.symptomatic of a system that is not due to what people taking control. I

:50:04. > :50:05.conclude with this comment. Let us make the correct decision, the

:50:06. > :50:12.government needs to sustain the NHS as it is, as that means taking

:50:13. > :50:19.simple things like paracetamol of the prescription list to save 80

:50:20. > :50:23.million, let's do it. We can look at real issues are going to make

:50:24. > :50:31.change, and be determined to be more efficient when possible. Cut red

:50:32. > :50:36.tape than services. And we want to ensure that they NHS can withstand

:50:37. > :50:40.the subject of cancer diagnosis, diabetes, heart disease and all

:50:41. > :50:44.other major illnesses that are only worsening. I do not envy the task

:50:45. > :50:48.that the Minister has but we have got to make these difficult choices,

:50:49. > :50:54.decisions to take away the bureaucracy and restore funds where

:50:55. > :50:59.it needs to go, cancer, rare diseases.

:51:00. > :51:07.I would like to start by saying a huge thank you to everybody who is

:51:08. > :51:18.out there in the system within our hospitals, within our GPs and within

:51:19. > :51:23.our care homes. If it wasn't for them, and if you listen to this

:51:24. > :51:26.debate today you might be under the impression that brilliant things

:51:27. > :51:32.weren't going on, but nine out of ten people get seen within the

:51:33. > :51:39.four-hour window at A, and that is to actually benefits nine out of

:51:40. > :51:42.ten, and we need to balance how we see this discussion. I've heard

:51:43. > :51:48.there are problems up and down the country, but in my constituency of

:51:49. > :51:53.Bury St Edmunds, their West Suffolk Hospital has just received an

:51:54. > :52:01.outstanding. And it has done that not for its buildings, not for all

:52:02. > :52:06.sorts of peripheral things, but for its care. And that is the most

:52:07. > :52:13.important thing we can ask anyone to give. I listened to the honourable

:52:14. > :52:19.member for tooting who said things were better. I was diagnosed with my

:52:20. > :52:24.second and third Cancers while Labour was in, and it was behind a

:52:25. > :52:27.sheet. The radiotherapy machines weren't working because there were

:52:28. > :52:32.not staff there. It is a problem that has been coming down the track

:52:33. > :52:38.at us for ages, and actually, we don't do anybody a service if we

:52:39. > :52:44.deny that it is a problem and it is looming. GPs have pressure in

:52:45. > :52:51.Suffolk, and I talk to them recently. I engage with social care

:52:52. > :52:55.- it is struggling. It is about the service, as my honourable friend

:52:56. > :53:00.from Calder Valley said about every patient is a person, a daughter, a

:53:01. > :53:05.mum, a dad, and we should remember that. The five-year forward view, we

:53:06. > :53:13.listened and we came to the table with the money. Now, the demand has

:53:14. > :53:20.outstripped us, but we need to look at streamlining the services. One

:53:21. > :53:23.pot will help us understand whether blockages are in the system that so

:53:24. > :53:30.many people, including the honourable member for Henley have

:53:31. > :53:33.alluded to, then we can look at unblocking the system. Having people

:53:34. > :53:37.on delayed discharge because you can't get into the community is

:53:38. > :53:42.ridiculous, when you then have people at A being sent there by

:53:43. > :53:45.GPs who can't get into the hospital to be treated. We all know the

:53:46. > :53:54.problem, but let's look at the solutions. Prevention is also an

:53:55. > :54:00.issue, but the motion today is far more than cash. 1948 is a long time

:54:01. > :54:07.ago, and the system has always been a mix of private and public. It is

:54:08. > :54:14.stronger today, but there are 1.4 million in its workforce, and that,

:54:15. > :54:15.thank you, is is -- that thank you is especially to the junior doctors

:54:16. > :54:30.out there. Working together would put the pot

:54:31. > :54:35.of money, 92% that goes into the acute sector with the 8% given to

:54:36. > :54:38.GPs, whom we are expecting to do more, and it would help to look at

:54:39. > :54:45.the funds that are needed through social care. Moving people through

:54:46. > :54:48.the system is tricky. We have an ageing population, co-morbidity, 70%

:54:49. > :54:55.of the budget is spent on long-term conditions. 22.4 million people

:54:56. > :54:59.visited A last year, up by some 600,000. I applaud the doctors who

:55:00. > :55:04.are beginning to say, you can perhaps do odd things at home. You

:55:05. > :55:09.don't always have to come and see us. And we need to be more

:55:10. > :55:14.responsible for our own health. It is important that we look at new

:55:15. > :55:16.ideas. The honourable member for South Wiltshire mentioned in the

:55:17. > :55:23.Telegraph the other day that perhaps we should look at the triple lock.

:55:24. > :55:32.Today, the interim chief exec of the NHS Confederation talked about using

:55:33. > :55:37.the private sector more slickly. Moving patients around so that home

:55:38. > :55:40.services are sorted, but we need to be able to talk about it. Let's

:55:41. > :55:48.think about the future. A young medic on Friday told me how much an

:55:49. > :55:52.operation had cost. Nine professionals for ten hours. People

:55:53. > :55:57.need to understand what things cost. A young clinicians to me only

:55:58. > :56:03.yesterday that when someone does not attend, perhaps they should be asked

:56:04. > :56:11.to pay. They get sent a text. We have to have more responsibility.

:56:12. > :56:18.66% of people in this country, with a looming diabetes crisis, RBC.

:56:19. > :56:22.People drink and smoke too much. We have to think about what we want out

:56:23. > :56:27.of the system and what we put into it. The honourable member for

:56:28. > :56:30.Strangford mentioned 85 billion on paracetamol when they are 16p.

:56:31. > :56:37.Should we be putting money in different places? If we treasure the

:56:38. > :56:45.NHS, we should treasure ourselves and its resources. The rise in

:56:46. > :56:52.cancer is linked to obesity. ?3.5 billion is spent on alcohol. The

:56:53. > :56:56.system is in crisis, but we have ways of addressing it. I don't want

:56:57. > :57:01.it to be a blame game, but the new doctors we have recruited, the new

:57:02. > :57:09.nurses, we need to actually step up, talk about the problems and develop

:57:10. > :57:12.a streamlined system. Thank you, Mr Deputy Speaker. This has been at

:57:13. > :57:19.times a high quality and also a passionate debate, which has made

:57:20. > :57:23.clear there are concerns across the House about the sustainability of

:57:24. > :57:26.the NHS. The Chancellor sadly couldn't be with us. I believe he

:57:27. > :57:30.has a few other things on right now, but if he had been here, he would

:57:31. > :57:33.have heard contributions from honourable members on all sides and

:57:34. > :57:39.would be in no doubt about the severity of the challenges facing

:57:40. > :57:41.the health and social care sector and of the dire consequences if he

:57:42. > :57:46.does not deliver the rescue package needed tomorrow. We have heard

:57:47. > :57:51.excellent contributions, and as a number of members and Right

:57:52. > :57:55.Honourable members have said, we may have our political differences, but

:57:56. > :58:00.we do appreciate the work our staff in the NHS do, as we appreciate

:58:01. > :58:04.their work all public sector workers do. So thank you. The chair of the

:58:05. > :58:13.health select committee both calmly and clearly explained how cuts to

:58:14. > :58:16.parts of the health budget will be used to reach the cuts of ?10

:58:17. > :58:22.million. He failed to mention certain things today. It was pointed

:58:23. > :58:28.out how many of these cuts are going to store up other problems in the

:58:29. > :58:33.long term, and it was right to say that moving the goalposts does

:58:34. > :58:37.nobody any credit. My right honourable friend, the member for

:58:38. > :58:42.Mitcham and Morden, described cuts in her area as implausible and she

:58:43. > :58:46.is going to fight the closure of the Saint Hellyer hospital. She rightly

:58:47. > :58:50.pointed out that closing that will undermine other services and other

:58:51. > :58:53.hospitals in her area. I have no doubt that her constituents will be

:58:54. > :58:58.relieved that they have such a champion on their side. The

:58:59. > :59:01.honourable member for Strangford spoke with passion about the

:59:02. > :59:09.variation in treatment of cancer and the alarming statistics about

:59:10. > :59:15.alarming increases in cancer. There is much more that needs to be done

:59:16. > :59:20.in getting earlier detection. We were told there seems to be a focus

:59:21. > :59:26.on consolidating services where there is no problem. She made it

:59:27. > :59:31.clear that her constituents will be fooled into accepting a downgrade in

:59:32. > :59:38.their local hospital. I have a say, her local health chiefs have won the

:59:39. > :59:42.award for the worst use of today by calling patients passive recipients

:59:43. > :59:45.of care. The right Honourable member from tooting brought her experience

:59:46. > :59:50.to the chamber and said of the NHS is that everywhere we look, the

:59:51. > :59:53.answer is a lack of funding. Staff morale and patient morale are at an

:59:54. > :00:06.all-time low, and she should know what she's talking about. We also

:00:07. > :00:07.heard from members, none of whom mention the deficit is their own

:00:08. > :00:31.STPs are facing. I will give way. I am aware of the

:00:32. > :00:36.financial challenges in my own area. There is a 26% increase in funding

:00:37. > :00:42.in the STP plan after 2021, which I think is commendable. I am delighted

:00:43. > :00:53.if the honourable member has seen his STP plan. Other members have not

:00:54. > :00:56.got theirs yet. How much worse you think the deficit in South West

:00:57. > :01:05.Wiltshire would have been had the Labour Party won in 2015 and

:01:06. > :01:11.operated NHS spending by just 2.5 billion pounds rather than the

:01:12. > :01:15.figure we currently enjoyed? Our manifesto was clear that we would

:01:16. > :01:22.put in ?2.5 billion plus whatever else was needed. Research has shown

:01:23. > :01:24.that if health spending had continued at the levels maintained

:01:25. > :01:31.under the last Labour Government, there would be an extra ?5 billion a

:01:32. > :01:36.year by 2020. The NHS is deteriorating on every headline

:01:37. > :01:38.performance measure since the current Health Secretary took office

:01:39. > :01:43.and is now facing the biggest financial crisis in its history,

:01:44. > :01:48.with providers reporting a net deficit of almost ?2.5 billion last

:01:49. > :01:50.year, a deficit only covered by a series of one-off payments and

:01:51. > :01:57.accounting tricks that did not disguise the true picture of a

:01:58. > :02:02.service that is creaking, a workforce stretched to the limit and

:02:03. > :02:06.a Health Secretary in denial about his culpability for the shocking

:02:07. > :02:10.state of affairs. While he rightly pays tribute to the work of staff,

:02:11. > :02:22.he must know that his platitudes are not enough when morale is so low. I

:02:23. > :02:29.asked my sister whether Liverpool had had any input into the

:02:30. > :02:34.Merseyside and Cheshire STP. He is obviously also a member of the area

:02:35. > :02:40.covered Sunni has Ellesmere Port been asked in any way, can he tell

:02:41. > :02:49.us, in the developed the Merseyside and STP? I thank her for her

:02:50. > :02:52.intervention. Only last week, Cheshire West put forward a

:02:53. > :02:56.resolution indicating they were not satisfied with their level of

:02:57. > :03:00.involvement in the STP. I don't think there is any council in the

:03:01. > :03:05.Cheshire and Merseyside area that is satisfied with their level of

:03:06. > :03:11.involvement will stop that includes conservative- controlled Cheshire

:03:12. > :03:14.East Council. Faced with an unprecedented crisis, the Secretary

:03:15. > :03:17.of State, what did he say to themselves when asked about

:03:18. > :03:24.investment in the NHS over the next five years? He said, if you call it

:03:25. > :03:28.?4.5 billion or ?10 billion, it does not matter. It might not matter to

:03:29. > :03:30.him, but it matters to people up and down the country who are desperately

:03:31. > :03:39.worried about the future of their local services. We know the

:03:40. > :03:43.Secretary of State is all except the accusation of giving a false

:03:44. > :03:47.impression that the NHS was awash with cash. The National Audit Office

:03:48. > :03:51.said yesterday, with more than two thirds of trust in deficit in

:03:52. > :03:55.2015-16, and an increasing number of candle and clinical commissioning

:03:56. > :04:04.groups able to stay within budget, we repeat our view that the

:04:05. > :04:09.financial problems are endemic. A joint statement was released this

:04:10. > :04:13.week saying that the Department of Health's budget will increase by

:04:14. > :04:17.just over ?4 billion in real terms between 2015-16 and 2021. This is

:04:18. > :04:27.not enough to maintain the standards of the NHS, to meet rising demand

:04:28. > :04:38.and to achieve the aims of the forward review. Every day we hear

:04:39. > :04:45.more about the service crumbling after six years of underinvestment

:04:46. > :04:52.and cuts to social care and health come home to roost. A new scheme

:04:53. > :04:56.where heart attack victims might have to wait 40 minutes for an

:04:57. > :05:02.ambulance. Young and elderly parents are dying because of worsening

:05:03. > :05:04.responses to 999 calls. Ambulance figures are the worst on record, and

:05:05. > :05:11.what did we hear from the Government this weekend? Is the only comment

:05:12. > :05:20.was one purportedly attributed to one of the Prime Minister's

:05:21. > :05:26.assistance. I have a suggestion, why don't they try fixing a NHS? It is

:05:27. > :05:29.time to be honest about where we are and the true nature of the

:05:30. > :05:35.sustainability transformation plans which have now finally started to

:05:36. > :05:39.emerge. Let me be clear, we're not opposed to the idea of localised

:05:40. > :05:42.strategic oversight of the NHS, but it is becoming increasingly obvious

:05:43. > :05:47.these plans are putting money of everything else stop at the BMA set

:05:48. > :05:51.out yesterday, there is a real risk that these plans will be used as a

:05:52. > :05:56.cover for delivering cuts, starving services of resources and patient of

:05:57. > :06:02.vital care. The documents released so far revealed cuts to hospitals,

:06:03. > :06:06.services, beds and in some cases, staff. We are deeply concerned at

:06:07. > :06:10.the lack of public, political and even clinical consultation, with two

:06:11. > :06:15.thirds of doctors having not been consulted and a third of doctors not

:06:16. > :06:19.even aware that the STPs exist. What a shambles! We are clear that

:06:20. > :06:23.without adequate resource and, these plans will not lead to financial

:06:24. > :06:29.sustainability and they will only serve to reduce services and create

:06:30. > :06:33.longer waiting times. If they are so wonderful, as ministers say they

:06:34. > :06:36.are, why won't they let us see them? The deliberate instruction not to

:06:37. > :06:42.release any information about the plans has only increased concern and

:06:43. > :06:44.cynicism among the public and was, I believe, a serious error of judgment

:06:45. > :06:48.which this Government will come to regret. We therefore call on the

:06:49. > :06:52.Government to publish those plans not already in the public domain,

:06:53. > :06:56.and we are asking them to ensure there is a full consultation process

:06:57. > :06:59.before any of the changes are implemented. Consultation with the

:07:00. > :07:04.public does not mean presenting them with a complete plan and asking

:07:05. > :07:08.whether they support it. The bigger the change, the better it is to

:07:09. > :07:12.start early without consultation. You are already playing catch up,

:07:13. > :07:22.but genuine engagement can start now. As we heard, we have major

:07:23. > :07:29.concerns about the Cheshire and Merseyside STP. The rough three

:07:30. > :07:33.fatal flaws - there are more about finance and patience, they are

:07:34. > :07:46.secretive, and they run to deadlines that make consultation impossible.

:07:47. > :07:51.It just seems that every local council has rejected the plans, or

:07:52. > :08:03.not been involved, and indeed we have had little involvement with

:08:04. > :08:07.anyone across the board. And the speech, runner up with worse use of

:08:08. > :08:13.business speak, the financial component has been a strong driver.

:08:14. > :08:22.This is all about money. Ministers need to try to stop putting wool

:08:23. > :08:27.over our eyes, and be the extent of the crisis engulfing the NHS. Not

:08:28. > :08:32.one senior commentator believes that the health and social care is going

:08:33. > :08:43.to be sustainable without additional funding. The Nuffield Trust, health

:08:44. > :08:49.select committee, directors and local government Association,

:08:50. > :08:52.British Medical Association, NHS Confederation have been calling on

:08:53. > :08:57.the government to address the funding gap. I do not know if that

:08:58. > :09:03.list is long enough for the Secretary of State, does not seem to

:09:04. > :09:09.be too hot when it comes to numbers, will he listen to them? And ensure

:09:10. > :09:13.that the health and social care sector gets the funding that it

:09:14. > :09:18.needs. This is the last chance, before the crisis over homes is. I

:09:19. > :09:25.commend this motion through the house. I am very pleased to be able

:09:26. > :09:32.to close what has been, an interesting debate. I would

:09:33. > :09:42.characterise it as an occasionally high-pitched debate. In which a

:09:43. > :09:46.number of Right honourable member 's have made constructive

:09:47. > :09:52.contributions. The constructive contributions came from the right

:09:53. > :09:55.honourable lady from Central Ayrshire, characteristically

:09:56. > :09:59.impressive and the members on my side of the house. Also outnumbered

:10:00. > :10:12.the contributions from backbench Labour members by four to three. A

:10:13. > :10:19.third more. I have to ask the right honourable gentleman, where is the

:10:20. > :10:25.support on his benches for this motion? We will have to see if they

:10:26. > :10:30.are going to turn up to vote, certainly not going to turn up to

:10:31. > :10:34.speak. This is close to most people in this chamber precisely because

:10:35. > :10:46.alongside the contribution of those who work in the NHS, tonight he

:10:47. > :10:49.tribute, -- to whom I pay tribute, it is the fun thing that keeps the

:10:50. > :10:55.people going. This government is committed to the NHS, committed that

:10:56. > :11:09.it should be free at the point of use. Thank you Mr Deputy Speaker. Is

:11:10. > :11:14.it in order for the right honourable member, someone of interest, on

:11:15. > :11:34.their side, the time limit was cut to four minutes... Order. It has

:11:35. > :11:35.been put on the record, public record, nine opposition, eight

:11:36. > :11:42.government, six Labour, eight conservative. The facts speak for

:11:43. > :11:49.themselves. Each conservative backbencher, only six labour at the

:11:50. > :11:55.opposition debate. What a shambles. I do not question the fact that the

:11:56. > :12:00.NHS faces significant challenge, it is a consequence of the ageing

:12:01. > :12:04.population. The determination to look after each and every NHS

:12:05. > :12:09.patient with the high standards, these all contribute to this

:12:10. > :12:14.challenge. Despite increasing pressures, the NHS is rising to this

:12:15. > :12:22.challenge, carrying out more than 5000 operations every day. Handling

:12:23. > :12:31.780,000 more accident and emergency attendances, that is 15.1% more than

:12:32. > :12:35.the last quarter, when Labour were in office. To date as the

:12:36. > :12:42.Conservative Party that is the party of the NHS. This is why we pledged

:12:43. > :12:47.more than Labour and why we are delivering more funding with a

:12:48. > :12:53.higher proportion of total government spending going to kill

:12:54. > :12:57.each year since 2010. Some right honourable member 's have drawn

:12:58. > :13:04.international comparisons. But I want to remind the excitable members

:13:05. > :13:11.opposite, total spending in the UK is 9.9% of GDP, 10% above the

:13:12. > :13:18.average and just above the European Union 15 average of 9.8%. Several

:13:19. > :13:30.honourable member 's have also questioned focus. And I welcome

:13:31. > :13:35.confirmation that the chairman of the select committee, she can see

:13:36. > :13:39.how the Secretary of State has arrived at these numbers and

:13:40. > :13:49.graciously conceded that both sides are correct. I want to focus on the

:13:50. > :13:52.straightforward mathematics. What I clarified, the way that it had been

:13:53. > :13:59.arrived at was not how the public would understand he'll spending. I

:14:00. > :14:05.think the minister is perhaps taking what I said out of context. We never

:14:06. > :14:17.claimed that we increasing the Department of the budget. Talking

:14:18. > :14:26.about increases to the NHS. And for clarity, 14/15, NHS budget was ?98.1

:14:27. > :14:32.billion. 2021, it is going to be 119. For those members opposite who

:14:33. > :14:44.cannot do the mathematics, that is at 21.8 billion increase. 10

:14:45. > :14:52.billion, in real terms. Delivering ten billion. We also listen to NHS

:14:53. > :14:59.leader requests for the settlement and deliver upon this today, 6

:15:00. > :15:05.billion of the 10 billion increase coming by the end of this year,

:15:06. > :15:14.including the 3.8 real-time entries. We also created the sustainability

:15:15. > :15:18.and that has helped provide us move to the sustainable financial

:15:19. > :15:27.footing. This is mainly going to be allocated to emergency care

:15:28. > :15:34.profession. This takes me to the next important point. More funding

:15:35. > :15:40.obviously welcomed, but attention has been drawn to rising deficits

:15:41. > :15:45.from NHS providers. The Vicky Price that stronger financial management

:15:46. > :15:52.is required and we have introduced riposte governance arrangements to

:15:53. > :15:59.get things by contract. Extra investment, and the spending review,

:16:00. > :16:05.as I have discussed, and freeing up local government, the measures set

:16:06. > :16:14.out by NHS England and NHS improvement in July. Reducing demand

:16:15. > :16:20.for acute care and driving efficiency and productivity across

:16:21. > :16:32.the sector. It has been identified, large variations in efficiency

:16:33. > :16:38.across English care hospitals. And variations, raised in a constructive

:16:39. > :16:48.contribution. We agree with them, that we need to reduce the poor

:16:49. > :16:54.performing trusts, get them to the average if not better. We are

:16:55. > :17:06.beginning to see the fruits of this plan. The second quarter deficit

:17:07. > :17:13.reduced to 640 million, 968 million improvement this year. Progress

:17:14. > :17:19.halfway through the financial year therefore encouraging. But no room

:17:20. > :17:26.for complacency. That is why the system is supported by investment to

:17:27. > :17:32.help hospitals become more efficient and reduce the use of expensive

:17:33. > :17:39.agency staff. Several honourable member is raised the transformation

:17:40. > :17:44.plans. 28 of which have been published. The remainder will be

:17:45. > :17:50.published by the end of next month. Half of the members opposite of the

:17:51. > :18:03.Labour members opposite, spoke specifically about the SPT covering

:18:04. > :18:08.Cheshire and Merseyside, but only one of those three was able to

:18:09. > :18:14.attend the Westminster Hall debate, discussion about Cheshire and

:18:15. > :18:18.Merseyside. And that SPT was laid by the Chief Executive of one of the

:18:19. > :18:24.hospitals from Liverpool. I would strongly encourage right honourable

:18:25. > :18:34.member to have a conversation with. I would also remind all members of

:18:35. > :18:43.the house that any reconfiguration proposals... Order. If there is not

:18:44. > :18:53.giving way, you will have to set back down. It is for the Minister to

:18:54. > :18:58.choose. Thank you Mr Deputy Speaker. Any reconfiguration proposals that

:18:59. > :19:04.are milch from the SPT will be subject to stature story --

:19:05. > :19:12.statutory consultation. I have already said I am not going to

:19:13. > :19:22.engage with SPT readers so that they can play our part in considering how

:19:23. > :19:33.these plans and I am not going to give way... However often that she

:19:34. > :19:39.asks. If the honourable Minister wants to give way, he will, if you

:19:40. > :19:50.want him to, you can ask but what we do not want, this side saying no,

:19:51. > :20:02.yes... Give way if you wish. I have explained that I do not want to, I

:20:03. > :20:05.have got limited time left, and SPTs have been regarded as the best

:20:06. > :20:12.alternative for long-term improvements. The independent sector

:20:13. > :20:16.has been raised, the taste for commissioning decisions must always

:20:17. > :20:27.be the value provided for patients and taxpayers. The vast majority of

:20:28. > :20:29.NHS care continues to be provided by public sector organisations, but

:20:30. > :20:34.they should listen to the Chief Executive of the NHS Confederation,

:20:35. > :20:42.representing providers who has today written in the Guardian of all

:20:43. > :20:48.newspapers that the private sector providers that increase the system

:20:49. > :20:51.capacity to respond to demand, help to meet waiting time targets and

:20:52. > :20:56.enable investment that brings important benefits for patients,

:20:57. > :21:04.most of whom entirely relaxed about who provides care, providing it is

:21:05. > :21:10.high quality and remains free at the point of use. And I agree with them.

:21:11. > :21:15.The Secretary of State and I have acknowledged that the NHS is facing

:21:16. > :21:22.challenges and I recognise the challenges, but this government is

:21:23. > :21:30.fully committed. The question now be put. Those of that opinion say aye.

:21:31. > :21:46.Ayes have it. The question is that the original ones of the question,

:21:47. > :21:51.say aye. Contrary, no. Subtitles will resume at 11.30pm.