11/01/2017 Prime Minister's Questions


11/01/2017

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Questions to the Prime Minister.

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Chris Law.

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Number one, Mr Speaker.

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This morning, I had meetings with ministerial

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colleagues and others.

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In addition to my duties in this House, I shall have further such

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meetings later today.

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A very happy new year to you, Mr Speaker, and I would

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like to extend that to everyone in this House.

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It has been more than six months since the European referendum.

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Embarrassingly for the Prime Minister, the Scottish government

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are the only Administration on these islands to have published

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a plan on what to do next.

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Has she read it yet?

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When will she be publishing her own plan?

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I join the honourable gentleman in wishing

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everybody in the House, not only members, but all the staff

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of the House, a very happy new year.

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As I said to the Liaison Committee when I appeared in front

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of it before Christmas, I will, in a matter of weeks,

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be setting out some more details of our proposals on this issue.

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I would like just to remind him, when he talks about

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the Scottish Government's plan, that of course it is his party,

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the Scottish Nationalist Party, that wants to leave the United Kingdom

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and therefore leave the European Union.

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Westinghouse's Springfields site in my constituency employs more

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than 1,200 people in highly skilled jobs manufacturing nuclear fuel,

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which generates 15% of the UK's electricity.

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Does my right honourable friend agree that the nuclear industry

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is of crucial importance to the north-west economy?

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Will she continue to support the construction of a new generation

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of nuclear power stations to guarantee jobs in the region?

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I certainly agree with my honourable friend that new nuclear does

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have a crucial role to play in securing our future energy needs,

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especially as we are looking to move to a low-carbon society.

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The industrial strategy that the government will be setting

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out will have a strong emphasis on the role of regions in supporting

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economic growth and ensuring that the economy works for everyone.

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Like him, I very much welcome the proposals from NuGen and Toshiba

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to develop a new nuclear power station at Moorside in Cumbria.

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The Department for Business, Energy and Industrial Strategy

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continues to work closely with NuGen and other developers as they bring

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their proposals forward.

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I call Jeremy Corbyn.

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Thank you, Mr Speaker.

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It is nice to get such a warm welcome, and may I wish all members,

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as well as all members of staff in the House, a happy new year?

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I hope the whole House will join me, I am sure it will, in paying

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tribute to 22-year-old Lance Corporal Scott Hetherington,

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who died in a "non-combat" incident in Iraq last Monday.

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I am sure the whole House will also join in sending its heartfelt

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condolences to the family and friends of seven-year-old

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Katie Rough, who tragically died in York earlier this week.

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I think it is right that we send condolences to her family.

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Last week, 485 people in England spent more than 12 hours on trolleys

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in hospital corridors.

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The Red Cross described this as a "humanitarian crisis."

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I called on the Prime Minister to come to Parliament on Monday,

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but she did not, she sent the Health Secretary.

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But does she agree with him that the best way to solve

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the crisis of the four-hour wait is to fiddle the figures so that

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people are not seen to be waiting so long on trolleys

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in NHS hospitals?

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First, may I join the right honourable gentleman

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in sending our condolences to the family of Lance Corporal

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Hetherington, who, as he said, died in a non-combat

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incident in Iraq?

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From everything I have seen and read about Lance Corporal Hetherington,

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he was a very fine young man.

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He delighted in being in the armed forces, and we are proud that

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such a fine young man was in our armed forces.

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I also join the right honourable gentleman in expressing condolences

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to the family and friends of little Katie, who died so tragically.

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The right honourable gentleman talks about the pressures on the NHS,

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and we acknowledge that there are pressures on the

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National Health Service.

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There are always extra pressures on the NHS

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during the winter but, of course, we have at the moment

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those added pressures of the ageing population and the growing complex

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needs of the population.

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He also refers to the British Red Cross's term, "humanitarian crisis."

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I have to say to him that I think we have all seen humanitarian

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crises around the world, and to use that description

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of a National Health Service that last year saw 2.5 million more

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people treated in accident and emergency than six years ago

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was irresponsible and overblown.

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Some 1.8 million people had to wait longer than four hours in A

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departments last year.

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The Prime Minister might not like what the Red Cross said,

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but on the same day the British Medical Association said

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that "conditions in hospitals across the country are reaching

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"a dangerous level."

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The Royal College of Nursing has said that NHS conditions

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are the worst ever.

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The Royal College of Physicians has told the Prime Minister

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that the NHS is "under-funded, under-doctored and overstretched."

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If she will not listen to the Red Cross, who will she listen to?

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I have said to the right honourable gentleman that I of course

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acknowledge that there are pressures on the National Health Service.

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The government have put extra funding into

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the National Health Service.

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The fact is that we are seeing more people being treated in our NHS:

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2,500 more people are treated within four hours every day

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in the National Health Service because of the government putting

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in extra funding and because of the hard work of medical

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professionals in our National Health Service.

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It is not just a question of targets for the health service,

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although we continue to have a commitment

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to the four-hour target, as the Health Secretary

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has made clear.

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It is a question of making sure that people are provided

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with the appropriate care for them, and the best possible care for them

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in their circumstances.

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The right honourable lady seems to be in some degree

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of denial about this.

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She will not listen to professional organisations that have

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spent their whole lifetimes doing their best for the NHS,

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but will she listen to Sian, who works for the NHS?

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She has a 22-month-old nephew.

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He went into hospital, but there was no bed.

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He was treated on two plastic chairs pushed together with a blanket.

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Sian says that "one of the nurses told my sister that it's always

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"like this nowadays."

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She says to us all: "Surely we should strive

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"to do better than this."

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Do the Prime Minister and the Health Secretary think

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that is an acceptable way to treat a 22-month-old child

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in need of help?

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I accept that there have been a small number of incidents

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in which unacceptable practices have taken place.

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We do not want those things to happen, but what matters

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is how you deal with them, which is why it is so important

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that the NHS looks into the issues when unacceptable incidents have

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taken place and learns lessons from them.

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I come back to the point that I was making earlier: the right

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honourable gentleman talks about the hard-working health care

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professionals, like Sian, in the National Health Service,

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and indeed we should be grateful for all those

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who are working in the NHS, but on the Tuesday after Christmas

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we saw the busiest day ever in the National Health Service,

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and over the few weeks around Christmas we saw the day

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on which more people were treated in accident and emergency

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within four hours than ever before.

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That is the reality of our National Health Service.

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We all thank NHS staff and we all praise NHS staff,

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but the Prime Minister's government are proposing, through

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sustainability and transformation, to cut one third of the beds

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in all of our hospitals in the very near future.

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On Monday, she spoke about mental health and doing

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more to help people, particularly young people,

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with those conditions, which I welcome, except that last

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night the BBC revealed that, over five years, there had been

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an 89% increase in young people with mental health issues having

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to go to A departments.

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Does she not agree that the ?1.25 billion committed to child

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and adolescent mental health in 2015 should have been ring-fenced rather

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than used as a resource to be raided to plug other holes

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in other budgets in the NHS?

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If we look at what is happening with mental health treatment

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in the National Health Service, we see 1,400 more people every day

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accessing mental health services.

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When I spoke about this issue on Monday, I said

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that there is of course more for us to do, this is not a problem that

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will be resolved overnight.

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I have set out ways in which we will see an improvement in the services

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in relation to mental health, but it is about the appropriate

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care for the individual.

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As I mentioned earlier, that is not just about accident and emergency.

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When I was in Aldershot on Monday, I spoke to service users with mental

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health problems who said that they did not want to go to A

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The provision of alternative services has meant that the A

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locally has seen its numbers stabilising rather than going up.

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It is about the appropriate care for the individual.

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We want to see that good practice spread across the whole country.

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Nobody wants people with mental health conditions to go to A

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departments, the A departments do not want them to go there.

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Under this government, there are 6,000 fewer nurses and 400

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fewer doctors working in mental health.

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It is obvious that these people will go somewhere to try to get

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help when they are in a desperate situation.

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Our NHS is under huge pressure.

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Much of that is caused by cuts to social care,

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which the Royal College of Physicians says "are pushing more

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"people into our hospitals and trapping them there for longer."

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Will the Prime Minister do what my honourable

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friend the member for Leicester South Jonathan Ashworth

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has called for and bring forward now the extra ?700 million allocated

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in 2019 and put it into social care so that we do not have this problem

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of people staying too long in hospital when they should be

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cared for by a social care system?

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The right honourable gentleman asked me those questions in the last

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PMQs before Christmas.

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He may find it difficult to believe that somebody will say the same

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thing that they said a few weeks ago, but we have put extra

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money into social care.

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In the medium term, we are ensuring that best practice

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is spread across the country.

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He talks about delayed discharges.

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Some local authorities, which work with their health service

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locally, have virtually no delayed discharges.

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Some 50%, half of the delayed discharges, are in only 24

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local authority areas.

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What does that tell us?

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It tells us that it is about not just funding, but best practice.

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If he comes back to me and talks to me about funding again,

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he should think on this: we can only fund social care and the NHS

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if we have a strong economy, and we will only have that

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with the Conservatives.

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I am sorry to have to bring the Prime Minister back

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to the subject of social care, which I raised before Christmas.

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The reason I did so, and will continue to do so,

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is that she has not addressed the problem.

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The government have cut ?4.6 billion from the social care budget.

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The King's Fund says that there is a social care funding

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gap of almost ?2 billion this year.

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Earlier this week, the Prime Minister said

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that she wanted to create a "shared society."

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Well, we certainly have that: more people sharing hospital

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corridors on trolleys, more people sharing waiting

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areas in A departments, and more people sharing

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in the anxiety created by this government.

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Our NHS is in crisis, but the Prime Minister is in denial.

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May I suggest to her that, on the economic question,

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she should cancel the corporate tax cuts, and spend the money

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where it is needed, on people in desperate need in social care

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and in our hospitals?

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The right honourable gentleman talks about a crisis.

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I suggest he listens to the right honourable member

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for Don Valley, Caroline Flint, a former Labour Health Minister,

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who said that, with Labour, "It's always about crisis,

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"the NHS is on its knees.

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"We've got to be a bit more grown up about this."

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And he talks to me about restoring the cuts in corporation tax.

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The Labour party has already spent that money eight times.

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The last thing the NHS needs is a cheque from Labour that bounces.

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The only way that we can ensure that we have funding

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for the National Health Service is with a strong economy.

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Yesterday, the right honourable gentleman proved

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that he is not only incompetent, but that he would destroy

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our economy, and that would devastate our

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National Health Service.

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Cyber-bullying, sexting and revenge pornography are part

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of British teenage life today, so is a rapid increase in mental

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health problems among our teenagers.

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How is the Prime Minister helping to tackle the pressures that

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teenagers face in Britain today?

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My right honourable friend raises an important point.

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One of the things I spoke about, when I spoke about mental health

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on Monday, was trying to ensure that we can provide some better

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training for staff and teachers in schools to identify the early

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stages of mental health problems for young people,

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so that those problems can be addressed.

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Something like half of all mental health problems start

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before the age of 14, so this is a real issue

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that we need to address.

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We are going to look at how we can provide that training.

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We will also review the mental health services provided for young

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people to ensure that we can identify what is working and make

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sure that good practice is spread across the country.

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May I begin with a tribute to Father George Thompson,

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who died shortly before Christmas?

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He led a remarkable life as a teacher, as a priest and as

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the Scottish National Party Member of Parliament for Galloway.

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We extend our sympathies to his family.

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All of us in this House and across these islands care

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about the peace process and about the democratic

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institutions in Northern Ireland, so may I wish the Prime Minister

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well and the Taoiseach, the Northern Ireland Secretary

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and the political parties all the best in trying

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to resolve the serious political difficulties there?

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Will the Prime Minister tell us what the consequences will be if no

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agreement can be found?

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First, may I join the right honourable gentleman in offering

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condolences to the family and friends of

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the Rev George Thompson, who, as he says, was the MP for Galloway

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between 1974 and 1979 and, I believe, was the first former MP

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in modern times to be ordained a Roman Catholic priest.

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On the issue that the right honourable gentleman raises

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about the political situation in Northern Ireland,

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we are obviously treating this with the utmost seriousness.

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As he will know, my right honourable friend the Northern Ireland

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Secretary made a statement in the House earlier this

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week on this issue.

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He has spoken to the First Minister and the former

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Deputy First Minister, and he is urging all parties to work

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together to find a way forward.

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I have also spoken to the Taoiseach about this issue, so we are putting

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every effort into this.

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The legislation says that if, within seven days,

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we do not have a nomination for a Deputy First Minister,

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the matter would go to an election.

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The Prime Minister has indicated that she wants to take the views

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of the elected representatives and the devolved institutions

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on Brexit seriously.

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So it stands to reason then that if there is no

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Northern Ireland Assembly and no Northern Ireland Executive for much

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of the time before the March timetable that she has set

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for invoking article 50, she will be unable to consult properly,

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to discuss fully and to find agreement on the complex

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issues during this period.

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In these circumstances, will the Prime Minister postpone

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invoking article 50...

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Or will she just plough on regardless?

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As the right honourable gentleman says, we want to ensure that we do

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hear the views from all parts of the United Kingdom.

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That is why we have established the JMC European committee

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specifically to take views, and the JMC plenary,

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which is also obviously meeting more frequently than previously.

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I am clear that, first of all, we want to try to ensure that,

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within this period of seven days, we can find a resolution

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to the political situation in Northern Ireland,

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so that we can to see the Assembly government continuing.

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But I am also clear that, in the discussions that we have,

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it will be possible, it is still the case that Ministers

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are in place and that, obviously, there are executives in place,

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that we are still able to take the views of

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the Northern Ireland people.

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Closed question, Mr Michael Fabricant.

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Thank you very much, Mr Speaker.

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Uh...

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Apologies for...

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The fundamentals of the UK s economy are strong,

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including in Staffordshire and the West Midlands.

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Employment in Staffordshire has risen by over 20,000 since 2010.

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We have protected schools and police budgets.

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We see more doctors and more nurses in the Burton hospitals trust.

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Of course, we are going further than this in the West Midlands

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by giving new powers to the West Midlands

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with the devolution deal

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and with the election of a directly elected Mayor.

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I have to say that I think Andy Street, with his business

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and local experience, would be a very good Mayor

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for the West Midlands.

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Michael Fabricant.

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I thank my right honourable friend the Prime Minister for that answer.

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Unemployment in my constituency, my beautiful Lichfield

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constituency, is around 0.7%, and that is fantastic,

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but I want it even lower.

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I found out that 24% of my constituents work in the area

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of the West Midlands Combined Authority, so can I press my right

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honourable friend just a little further about what she thinks

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is needed in the West Midlands Combined Authority to improve

0:20:360:20:38

employment still more.

0:20:380:20:47

I thank my honourable

0:20:470:20:48

friend, and, of course,

0:20:480:20:51

I have had the advantage of having visited his beautiful constituency.

0:20:510:20:56

But in relation to the Midlands, we have a very strong ambition

0:20:560:21:00

to make the Midlands an engine for growth in the UK.

0:21:000:21:05

That is why we have plans for the Midlands engine

0:21:050:21:08

that demonstrate that, when we say we are going to build

0:21:080:21:11

an economy that works for everyone, we actually mean it.

0:21:110:21:14

In the autumn statement, my right honourable friend

0:21:140:21:16

the Chancellor confirmed things such as the ?5 million for a Birmingham

0:21:160:21:21

rail hub and a ?250 million Midlands engine investment fund,

0:21:210:21:26

and we will shortly be publishing a strategy for the Midlands engine.

0:21:260:21:29

But I repeat the point that I made - for the West Midlands,

0:21:290:21:32

having the devolution deal, having the Mayor and having

0:21:320:21:37

the right person elected as Mayor, who I think will be Andy Street,

0:21:370:21:40

is absolutely crucial.

0:21:400:21:41

Happy New Year, Mr Speaker.

0:21:410:21:42

Sir Ivan Rogers, in his resignation letter, said that people may

0:21:420:21:45

have to deliver messages to the Government that ministers

0:21:450:21:47

may find disagreeable.

0:21:470:21:49

So here is a message that the Prime Minister may find

0:21:490:21:51

disagreeable.

0:21:520:21:53

Her lack of priority for the single market

0:21:530:21:54

is putting jobs in Scotland and the economy at risk.

0:21:540:22:00

That means her Government are as big a threat to the Union as the SNP.

0:22:000:22:03

Her Government are not worthy of the trust of Scots,

0:22:030:22:06

let alone their blind trust, so will the Prime Minister take this

0:22:060:22:08

opportunity to apologise for threatening the Union and give

0:22:080:22:12

a solemn promise to every single person in this country

0:22:120:22:18

that they will not be a penny worse off after a Tory Brexit?

0:22:180:22:23

The honourable gentleman will be very well aware

0:22:230:22:25

that I want to see the best possible trade deal for the United Kingdom

0:22:250:22:28

with the EU and the best possible deal for trading with and operating

0:22:280:22:31

within the single European market.

0:22:310:22:33

When we enter the negotiations, obviously, that is one of the issues

0:22:330:22:36

that I have said that I want to see, and we will be out there

0:22:360:22:40

and be delivering on it.

0:22:400:22:42

Unlike the sort of downplaying that he

0:22:420:22:46

does about the approach that we are taking, I have

0:22:460:22:48

to say that it is this Government that is ambitious

0:22:480:22:53

for the opportunities that are available to this country once

0:22:530:22:56

we leave the European Union.

0:22:560:23:00

Cheshire schools in areas of rurality and areas of high

0:23:000:23:02

deprivation will receive some of the lowest per-pupil funding

0:23:020:23:04

rates in the country under the new proposed funding formula.

0:23:040:23:08

Does the Prime Minister agree that these discrepancies must be

0:23:080:23:10

addressed to ensure that Eddisbury pupils get the best

0:23:100:23:12

possible start in life?

0:23:130:23:15

I think everybody recognises that the way that schools

0:23:150:23:17

have been funded in the past has been unfair and many pupils

0:23:170:23:20

have been missing out.

0:23:200:23:23

That is why I think it is right for us to look at bringing forward

0:23:230:23:27

a new fair funding formula, making sure that funding is attached

0:23:270:23:29

to children s needs.

0:23:290:23:32

Of course we recognise the particular issues

0:23:320:23:34

of rural areas in this, and that is why, within the fair

0:23:340:23:38

funding formula, additional funding for such schools has been included.

0:23:380:23:43

But, of course, the Department for Education has this out

0:23:430:23:48

for consultation at the moment, and I would urge my honourable

0:23:480:23:51

friend to make her representations as part of that consultation.

0:23:510:23:54

Dewsbury hospital A is set for a downgrade this year.

0:23:540:23:59

Over Christmas, I had constituents who were waiting 20 hours for a bed

0:23:590:24:03

in a facility that might not even exist next year.

0:24:030:24:08

Would the Prime Minister please face reality and act now

0:24:080:24:13

to stop this vital A service from disappearing?

0:24:130:24:19

What the honourable lady

0:24:190:24:24

is referring to, of course, is the plans that are being put

0:24:240:24:27

forward at local level to consider...

0:24:270:24:32

Order.

0:24:340:24:36

There is far too much noise.

0:24:360:24:37

I must say to the honourable member

0:24:370:24:39

for Dewsbury that if she were behaving like this

0:24:390:24:41

in another public place she would probably be subject

0:24:410:24:43

to an antisocial behaviour order.

0:24:430:24:47

I return to the point, Mr Speaker.

0:24:470:24:54

Decisions about services in the local area are rightly taken

0:24:540:24:57

by the local National Health Service, because we believe

0:24:570:24:59

that it is local clinicians, and also local patients and leaders,

0:24:590:25:02

who know what is best for their areas.

0:25:020:25:03

So it is about trying to tailor the services to provide the best

0:25:030:25:08

possible services for the needs of local people, modernising

0:25:080:25:10

the care and facilities, and making services appropriate

0:25:100:25:13

to the local area.

0:25:140:25:15

This trust has an extensive improvement plan to ensure that both

0:25:150:25:18

hospitals within it can care for patients attending

0:25:180:25:21

accident and emergency in as timely a way as possible.

0:25:210:25:27

Next Thursday evening, I will host the first session

0:25:270:25:33

of the Bedford Community Business School, free of charge and open

0:25:330:25:37

to all, with 250 local people sharing a passion

0:25:370:25:43

for entrepreneurship and learning tips about business from national

0:25:430:25:45

and local business leaders.

0:25:450:25:46

Will my right honourable friend ensure that her forthcoming

0:25:460:25:48

industrial strategy has at its heart the passion and the interest

0:25:480:25:51

of Britain s small business leaders and entrepreneurs?

0:25:510:25:57

I can absolutely give my honourable friend that commitment.

0:25:570:25:59

What is important is that the industrial strategy will be

0:25:590:26:02

looking to the economy of the future - what is the sort of economy

0:26:020:26:05

we want in this country?

0:26:050:26:08

Crucial to that will be the growth that is generated by entrepreneurs

0:26:080:26:11

and by small businesses, by the very passion that he has spoken about.

0:26:110:26:14

We want to see an environment in which those who can grow can

0:26:140:26:18

emerge and develop to provide future jobs for people and contribute

0:26:180:26:22

to the strength of our economy.

0:26:220:26:24

That is what the industrial strategy is about.

0:26:240:26:27

I absolutely agree

0:26:270:26:29

with my honourable friend.

0:26:290:26:30

The Prime Minister, I am sure, will understand,

0:26:300:26:39

despite the reassurances, that there are genuine and really

0:26:390:26:41

serious concerns among staff across the NHS and the care system,

0:26:410:26:44

and patients and their families, about the pressure

0:26:440:26:45

that they are under.

0:26:450:26:50

For that reason, MPs from her own party, from the Labour

0:26:500:26:53

party and from my party have come together to call for the Government

0:26:530:26:56

to establish an NHS and care convention to engage

0:26:560:27:01

with the public, so that we can come up with a long-term settlement

0:27:010:27:04

for the NHS and care.

0:27:040:27:06

Would the Prime Minister be prepared to meet us to discuss it,

0:27:060:27:09

so that she can hear our case?

0:27:090:27:13

I recognise, obviously, the interest

0:27:130:27:15

and the attention that the right honourable gentleman has

0:27:150:27:17

given to these issues and of course, he is a former

0:27:170:27:19

Health Minister himself, and I would be happy to meet him

0:27:190:27:23

and others, as he suggests.

0:27:230:27:24

There can be nothing as distressing for a parent

0:27:240:27:31

as the death of their child, particularly where that

0:27:310:27:35

child has been murdered.

0:27:350:27:38

That is what happened to the two ladies, one of them

0:27:380:27:43

a constituent of mine, who set up Justice After Acquittal,

0:27:430:27:46

successfully campaigning for voluntary national standards

0:27:460:27:51

of support by the Crown Prosecution Service and by the police

0:27:510:27:55

for the families of murder victims following an acquittal.

0:27:550:27:59

Those standards are due to be launched here next Tuesday.

0:27:590:28:02

Would the Prime Minister join with me in paying tribute

0:28:020:28:05

to the determination and energy with which they have

0:28:050:28:08

campaigned for their cause, and will she continue to ensure,

0:28:080:28:11

as she always has done, that the voices of the victims

0:28:110:28:14

of crime and their families are always listened to?

0:28:140:28:16

My honourable friend raises a very important point.

0:28:160:28:19

I am very happy to join him in paying tribute

0:28:190:28:23

to these two campaigners.

0:28:230:28:24

Indeed, I am sure that the whole House would want to pay tribute

0:28:240:28:27

to the work that they are doing.

0:28:270:28:29

As he says, I remain committed to ensuring that the voices

0:28:290:28:31

of victims are heard.

0:28:310:28:33

That is what I did when I was Home Secretary,

0:28:330:28:36

if we look at issues such as introducing new measures

0:28:360:28:38

to tackle modern slavery, strengthening the Independent Police

0:28:380:28:42

Complaints Commission and legislating in relation

0:28:420:28:47

to police complaints and discipline systems to strengthen public

0:28:470:28:50

confidence in policing, and a number of other actions that

0:28:500:28:52

I took.

0:28:520:28:53

I am very pleased to say that my right honourable friend

0:28:530:28:56

the current Home Secretary is taking that same passion to ensuring

0:28:560:28:58

that the voices of the victims of crime are heard and is

0:28:580:29:01

taking that forward.

0:29:010:29:02

Across the United Kingdom, many banks are accelerating

0:29:020:29:04

their closure of local branches, with adverse effects on vulnerable

0:29:040:29:07

and older people and adverse effects on the high street.

0:29:070:29:10

The Royal Bank of Scotland is closing down branches

0:29:100:29:14

across Scotland, including those at Juniper Green and Chesser

0:29:140:29:16

in my constituency.

0:29:160:29:20

Local convenience stores are taking the strain of processing bills

0:29:200:29:24

and often face exorbitant bank charges for the privilege

0:29:240:29:28

of doing that.

0:29:280:29:29

Will the Prime Minister meet me to discuss how we can realise

0:29:290:29:32

a situation where banking across the UK services customers

0:29:320:29:35

and the real economy?

0:29:350:29:38

The issue of bank branches and, indeed, of the accessibility

0:29:380:29:44

of bank services is one that is for individual banks

0:29:440:29:47

themselves to take and consider, and of course there are many ways

0:29:470:29:52

in which people are now accessing bank services other

0:29:520:29:56

than by going physically into an actual bank branch,

0:29:560:29:58

but I will certainly look

0:29:580:30:01

at the issue that the honourable and learned lady has raised.

0:30:010:30:03

Building a country that works for everyone means doing even more

0:30:030:30:06

to tackle the economic and social deprivation that has come to afflict

0:30:060:30:09

pockets of seaside towns such as Rhyl in my constituency.

0:30:090:30:11

Will my right honourable friend therefore support Growth Track 360 -

0:30:110:30:20

a locally developed plan to invest in rail infrastructure to help

0:30:200:30:24

unlock the true potential of the north Wales and Mersey-Dee

0:30:240:30:28

economic region as an integral part of the northern powerhouse,

0:30:280:30:31

connected to the rest of the country via the proposed HS2 hub at Crewe?

0:30:310:30:38

Can I say to my honourable friend that I welcome

0:30:380:30:42

the establishment of the north Wales

0:30:420:30:45

and Mersey-Dee rail taskforce and the work that it is doing.

0:30:450:30:47

The plan that my honourable friend

0:30:470:30:50

mentions sets out an ambitious programme

0:30:500:30:52

of improvements for the area, and I am sure it will be

0:30:520:30:55

prioritising the most promising options.

0:30:550:30:56

I can say to him that the Department for Transport will continue to work

0:30:560:31:00

closely with the taskforce and with the Welsh Government

0:31:000:31:03

to consider what can be jointly accomplished.

0:31:030:31:06

As Pensions Minister, Steve Webb misled the public about the value

0:31:060:31:12

of the single-rate pension.

0:31:120:31:15

He also gave us the Pensions Act 2011.

0:31:150:31:18

He was rightly booted out by the voters, yet is now deemed

0:31:180:31:21

suitable for a knighthood.

0:31:210:31:23

Does the Prime Minister not understand that,

0:31:230:31:27

unless this Government take action to help the struggling WASPI women,

0:31:270:31:30

that knighthood is the final insult to these women?

0:31:300:31:33

Action has been taken on the issue in relation

0:31:330:31:36

to women s pensions.

0:31:360:31:39

The Government took action to ensure that the number of people

0:31:390:31:42

who were affected and the period for which they were affected

0:31:420:31:45

would be reduced, and money was put in to ensure that that was possible.

0:31:450:31:49

If the honourable gentleman looks at the new structure

0:31:490:31:53

that is being put in place for pensions, he will see that women

0:31:530:31:56

will actually be some of the greater beneficiaries of the new structure.

0:31:560:31:59

I welcome the fact that the Prime Minister has raised awareness

0:31:590:32:06

of the importance of child mental health this week, not least

0:32:060:32:09

because 65% of young people requiring mental health support

0:32:090:32:14

in south Warwickshire last year had to wait over 12 weeks

0:32:140:32:18

before starting treatment.

0:32:180:32:20

Can my right honourable friend outline how the new proposals

0:32:200:32:23

will improve our support network for such vulnerable young people?

0:32:230:32:27

Well, my honourable friend raises an important issue,

0:32:270:32:30

which was of course alluded to earlier in this session

0:32:300:32:33

of PMQs.

0:32:330:32:34

We are investing more in mental health than ever before - we

0:32:340:32:37

are spending a record ?11.4 billion a year -

0:32:370:32:40

and it was of course the Conservative-led Government that

0:32:400:32:43

introduced parity of esteem

0:32:430:32:45

between mental and physical health, but as I said earlier,

0:32:450:32:48

there is more for us to do in ensuring that appropriate care

0:32:480:32:51

is available for people.

0:32:510:32:53

I cited an example earlier of where I saw excellent work

0:32:530:32:58

being done to provide care and support for people in

0:32:580:33:01

the community, which was relieving pressure on accident and emergency,

0:33:010:33:05

but also ensuring that people were getting the best

0:33:050:33:07

possible care for them, and that is obviously

0:33:070:33:10

what we want to see.

0:33:100:33:11

The strained accident and emergency provision

0:33:110:33:16

in my constituency is under review, and the community further up

0:33:160:33:19

the Cumbrian coast risks losing 24-hour access to accident

0:33:190:33:22

and emergency and to consultant-led maternity from its local hospital.

0:33:220:33:25

I understand that the Prime Minister will say that these decisions

0:33:250:33:30

are to be made locally, but will she at least say

0:33:300:33:35

that she can understand the anxiety of expectant mums who face a 40-mile

0:33:350:33:41

journey on difficult roads, which are often blocked,

0:33:410:33:44

if they have a difficult birth?

0:33:440:33:48

Can I say to the honourable gentleman that I think the problems

0:33:480:33:54

that are facing the health service

0:33:540:33:56

in Cumbria are widely recognised, and I do understand the concerns

0:33:560:34:00

of local people about the services that will be available for them.

0:34:000:34:03

We have put robust national support in place to address some

0:34:030:34:06

of the long-standing challenges in Cumbria, and we are developing

0:34:060:34:09

a lasting plan to deliver the high-quality, sustainable

0:34:090:34:13

services that patients rightly expect.

0:34:130:34:15

He is right that these specific decisions

0:34:150:34:20

are being taken locally, and no final decisions

0:34:200:34:22

have been taken.

0:34:220:34:24

I recognise the concern that he has raised previously,

0:34:240:34:26

particularly about services at West Cumberland Hospital.

0:34:260:34:29

There will be considerable involvement in taking those

0:34:290:34:32

decisions, but as I say, we do recognise the local concerns

0:34:320:34:35

about some of the long-standing challenges for health service

0:34:350:34:38

provision in Cumbria.

0:34:380:34:40

I know from my career in medicine that the men and women

0:34:400:34:49

of our East Midlands ambulance service do a brave and sterling job

0:34:490:34:54

for the people of Sleaford and North Hykeham and others,

0:34:540:34:58

saving people s lives every day.

0:34:580:35:00

East Midlands ambulance service responded to a total of 11,662

0:35:000:35:04

999 calls over the Christmas bank holiday weekend alone,

0:35:040:35:09

2,500 of which were in Lincolnshire.

0:35:090:35:13

Will the Prime Minister join me in paying tribute

0:35:130:35:17

to their dedication, particularly over the busy winter

0:35:170:35:21

period, and tell the House what more the Government can do

0:35:210:35:25

to support our ambulance services and improve response times in rural

0:35:250:35:29

areas like Sleaford and North Hykeham?

0:35:290:35:33

Can I thank my honourable friend for her question,

0:35:330:35:39

and also for bringing her personal experience as a medical

0:35:390:35:41

professional in relation to this issue?

0:35:410:35:43

I am very happy to join her in paying tribute to the men

0:35:430:35:46

and women of the ambulance service for the dedication and

0:35:460:35:50

commitment that they show.

0:35:500:35:52

She asks what the Government have been doing.

0:35:520:35:54

We recognise that ambulance services are very busy.

0:35:540:35:58

That's why we see over 2,000 more paramedics now compared with 2010,

0:35:580:36:02

and we are increasing paramedic training places by over

0:36:020:36:05

60% this year.

0:36:050:36:06

Also, the Department of Health, NHS Employers and ambulance

0:36:060:36:10

unions have agreed changes to the compensation for paramedics,

0:36:100:36:14

potentially giving them a pay increase of up to ?14,000

0:36:140:36:18

as they progress.

0:36:180:36:19

But we recognise the excellent work that they do.

0:36:190:36:22

Can I commend the Prime Minister

0:36:220:36:26

for her considered statement last night and, indeed, for the words

0:36:260:36:29

that she has given this afternoon?

0:36:300:36:31

She knows our commitment to the institutions

0:36:310:36:34

in Northern Ireland, but would she agree that nothing

0:36:340:36:36

can be, or should be, gained from threatening the peace

0:36:360:36:41

process, the progress that we have made or the institutions

0:36:410:36:45

that we have fought so hard to sustain in Northern Ireland?

0:36:450:36:49

Well, the progress that has been made in Northern Ireland

0:36:490:36:55

has been hard won, and we must all recognise that we don't want

0:36:550:36:58

to put that progress in jeopardy.

0:36:580:37:01

That is why it is so important for the Government,

0:37:010:37:03

and for all parties, to work as hard as we can to see

0:37:030:37:07

a resolution to this issue, so that we can see a return

0:37:070:37:11

to the power-sharing institutions and ensure,

0:37:110:37:13

as we say, that the hard-won progress can be continued.

0:37:130:37:17

Can I warmly welcome what my right

0:37:170:37:22

honourable friend said

0:37:220:37:24

health earlier this week, but may I draw her attention

0:37:240:37:26

to another burning injustice?

0:37:260:37:28

My constituent Paula Edwards has been battling cancer for four years.

0:37:280:37:31

She is recovering from an operation and has taken 28 weeks off work.

0:37:310:37:34

She is still employed and is on half pay, yet her working tax

0:37:340:37:38

credits have been stopped, which means that she is worrying

0:37:380:37:42

about how she's making ends meet rather than on her recovery.

0:37:420:37:46

Will my right honourable friend ask the Treasury to look at this,

0:37:460:37:49

perhaps in the course of Budget preparations?

0:37:490:37:52

I thank my right honourable friend for her comments

0:37:520:38:01

about the mental health announcements that I have made.

0:38:010:38:03

I'm sorry to hear of the particular difficulties that her constituent

0:38:030:38:05

is experiencing and the distress that they have caused her.

0:38:050:38:08

Of course, working tax credits provide support for low-income

0:38:080:38:10

families in work and are designed to incentivise people

0:38:100:38:12

to increase their working hours.

0:38:120:38:15

We will be, obviously, with the new universal credit system,

0:38:150:38:18

have a system of benefits with single, streamlined payments

0:38:180:38:22

that encourages work, but I am sure the Financial Secretary

0:38:220:38:26

to the Treasury would be happy to look at the individual case

0:38:260:38:31

that my right honourable friend has raised and the issue

0:38:310:38:35

that she has set out.

0:38:350:38:37

Order.

0:38:370:38:38

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