Before listing my engagements, I am sure the whole House will wish to join me in expressing our deepest condolences to the family and friends of those killed on operations in Afghanistan over the last week. They were Corporal Dean John, Corporal Graeme Stiff and Lance Corporal Christopher Harkett. They, and all those who have lost their lives in conflict, deserve our profound gratitude for their service not just to our country, but to the peace of the world. Their courage and sacrifice will never be forgotten.
This morning, I had meetings with ministerial colleagues and others. In addition to my duties in the House, I shall have further such meetings later today.
I am sure that everyone in the House will wish to associate themselves with the Prime Minister’s comments.
Today’s unemployment figures are extremely disappointing and, as a former shipyard worker who experienced the indignity of three years’ unemployment in the early 1980s, I can well understand the frustration and anger that unemployment brings. May I ask my right hon. Friend not to abandon the unemployed and to make sure that the Government continue to invest in the skills and training needed to help us through these difficult times?
I am grateful to my hon. Friend. Any person who loses their job or is in fear of losing their job is a matter of personal regret for me and the whole Government. I do not regard unemployment as a statistic; I regard it as one person, a second person and a third person who needs our help. That is why we will do everything we can to help people get back into work: that is why we have announced more apprentices; that is why we have announced more help with training; that is why we have announced that from April there will be help for those who have been unemployed for six months; and that is why we have put £1.3 billion into the jobcentres—money that is necessary, so that we can help hundreds of thousands of people in the next few months get back into work.
I join the Prime Minister in paying tribute to Corporal Dean John, Corporal Graeme Stiff and Lance Corporal Christopher Harkett. The fact that more than 150 of our servicemen and women have been killed in Afghanistan is a reminder, once again, of the huge sacrifices our armed forces are making on our behalf. We praise their bravery, we honour their memory and we must look after their families.
Today, as has been said, unemployment has risen to more than 2 million people. The increase in the claimant count is the sharpest since records began. Does this not reveal that the claims repeatedly made by the Prime Minister that Britain is one of the best-placed countries in the world to withstand recession were simply nonsense?
I came into politics, and I stood for Parliament, because I wanted to help tackle unemployment and poverty, and that is why we are announcing the most comprehensive programme to help the unemployed. But I have to tell the right hon. Gentleman that unemployment is higher in France, in Germany, in Japan and in America. It is higher in most of the other countries we deal with, but we are taking urgent action to help those people in Britain who are unemployed. We are spending £1.3 billion helping our jobcentres and helping people into work. The Conservatives would not spend that money. I ask him why he would not help us deal with the problem of unemployment.
I have to say to the Prime Minister that Members in every part of this House will contrast what he said with the fact that 144 of our further education colleges—the exact organisations we need to retrain people who are unemployed—are having their building projects halted. There is this enormous gulf between what he says every week and what his Government are actually doing. Let me return to the question. People will simply not understand why the Prime Minister is so incapable of ever admitting that he got anything wrong. It is not just the unemployment figures today; the International Monetary Fund has said that the recession will be deeper and longer in Britain than in many other countries, and that Britain will be the only major economy in the world that will be in recession next year. So let me ask him again: was it not wrong to claim that Britain was one of the best-placed countries in the world to withstand recession? Admit it.
No, because the fact is that America entered recession more than a year and three months ago and the euro area entered recession in April last year, whereas we entered recession in July. We stopped ourselves going into recession for months after what had happened in America, and the action that we are taking now is designed to get us through it as quickly as possible.
Let me correct the right hon. Gentleman on FE colleges—we are going to spend £110 million this year investing in them. Let me correct him on public expenditure— we are investing £44 billion this year, in health, in education and in other capital investment projects to help us through this downturn. Let me correct him again on unemployment. Unemployment is far higher in America, in France, in Germany and in the euro area. I know that is of little comfort to people in this country, which is why we are doing everything we can to help them.
Let me correct—[Hon. Members: “More.”] Yes, there is plenty more. Let me correct the Prime Minister on the figures that he has just given to the House of Commons. He says that the recession started in July, but the economy stopped growing in April last year; we have been in recession for almost a year. [Interruption.] Yes, let me correct him on the further education colleges. He should come to my constituency of Witney, where people are in temporary classrooms because the whole building project has had to be abandoned because of his incompetent Government.
The entire country will see that the Prime Minister is in denial about the length and the depth of the recession. He likes to talk about the schemes that he has announced, so let us have a look at them. Can he confirm that not a single unemployed person has been helped by the recruitment subsidies that we called for in November and that he announced in January? Can he confirm that not a single home owner has been helped by the home owners mortgage support scheme that he announced in December? Is it not the case that those two specific schemes simply are not operating?
First of all, the right hon. Gentleman is wrong about the start date of the recession. Secondly, he is wrong about further education, because £110 million will be spent on it this year. Thirdly, he says that we are not doing anything, so I should tell him that in the last recession there was no help available for the unemployed, but we are spending £1.3 billion to help people get into work. Let us just go through the things that we are doing: 300,000 people used to be helped under Train to Gain and that will rise to 1 million; we have raised the levels of mortgage support, so that people can stay in their homes even when they lose their jobs; and, as the Secretary of State for Work and Pensions announced, in April—next month—programmes will come in that will help people who have been unemployed for six months. That was the date we set. The problem is that the right hon. Gentleman asks us to do more, but he is the only Opposition leader in history who is asking us to do more when saying he will spend less—it just does not add up.
We have just had the view from the bunker, where all these schemes are operating and where everything has been implemented, but the fact is that, on the ground, these things are not happening. We get a lecture in competence from a Government who are so incompetent that they could not even stop Fred Goodwin, or, sorry, I should say Sir Fred Goodwin—the Prime Minister knighted him for his services to the banking industry—walking off with a pension that is worth £60,000 a month. The lack of action applies not just to the housing scheme and the job scheme, because the asset-backed securities scheme is not up and running, and the working capital scheme is not working properly. Is that not why the CBI said that this Government have a total lack of a “coherent strategy”? Is that not why Shelter says that people facing repossession have been given “false hope”? Does the Prime Minister regret giving those people false hope?
That is not what we have done. We have negotiated with the building societies and banks a six-month moratorium for people who are faced with mortgage repossession. We have sent new orders to our courts that lenders cannot, as a first resort, go for repossession; they have to go through all the proper processes before they even consider that. We are helping unemployed people with their mortgages at a level that has not been done before, and next month we will bring in the protection scheme, under which we are insuring the banks and building societies against loss so that people can phase their mortgages over a longer period of time. The problem that the right hon. Gentleman has got is that everything he proposes, he will not fund. On Monday, he said there would be more cuts in public expenditure—already he has refused to support the £1.3 billion that we are spending to help the jobcentres and to help people who are unemployed. It is simply not credible to come to this House and say that he is urging us to do something when he would pay for absolutely nothing.
I do not know why the Prime Minister does not listen to his Employment Minister, who had the courage to leave the bunker for a moment this morning and say that
“there is a frustration about these schemes and the money and the credit getting through.”
If the Prime Minister had listened to us, he would have introduced a national loan guarantee scheme back in November, and it would have been operating for five months. Should not he also listen to the German Chancellor, Angela Merkel, who stood with him in Downing street and said—[Interruption.] The hon. Member for Bolsover (Mr. Skinner) should be quiet. I know that he wanted miners to join the Government: well, now he has got one—Lord Myners—[Interruption.]
They all want Lord Myners to negotiate their retirement packages: call an election and we can arrange that.
Back to the German Chancellor, who said that
“if we want to make real impact, you really must implement the package first before you talk about the next step”.
Is not that right? Are not this Government just running round, like headless chickens, with initiative after initiative that never gets implemented? Is not that combination of ineffectiveness and hyperactivity the worst combination of all?
The right hon. Gentleman opposed the German fiscal expansion. He has opposed every fiscal expansion—in the US, in Germany and in France. He is out on a limb in opposing public expenditure rising in the downturn: he wants to cut it, and he wants to cut it now.
On the right hon. Gentleman’s great £50 billion scheme, the shadow Chancellor said that it
“does not add to public expenditure.”—[Official Report, 18 December 2008; Vol. 485, c. 1228.]
However, the shadow shadow Chancellor has said that
“the taxpayer will take some of the hit.”
The Conservatives do not know whether the scheme that they are proposing will cost money or not cost money: that is how bereft they are of ideas for the economy.
The Leader of the Opposition does not understand that this is an unprecedented global banking crisis. Unprecedented means without precedent. Global means that it affects the whole of the world. The sooner that he wakes up to the fact that we need global action to deal with it, the better for our country.
I am glad that the Prime Minister is back to reading out quotations, because we now know how long a pledge from him lasts. Yesterday, he said in The Guardian:
“I personally have always said that modern politics, with its focus on who said what, when, how and why, is far too divisive for the problems that a country’s got to meet”.
What a complete phoney! [Interruption.]
I am happy to withdraw that remark.
The Prime Minister mentioned the Germans. Of course, they went into the recession with a surplus, not a deficit. That is why the German Finance Minister said that the VAT cut, which we opposed, will build up debt that will take a generation to pay off.
Let us be clear about what has happened today. This Government have announced the biggest rise in the dole queue since records began. That is a rise faster than under any Conservative Government or any previous Labour Government. Is it not the case that the Prime Minister has led us to this point without a hint of an apology, and the British people will never forget it?
First of all, quoting German Finance Ministers in the week when the Conservatives are walking away from the mainstream of European politics is absolutely absurd. Secondly, we are prepared to spend money to help the unemployed; we are not going to walk by on the other side, we are going to help them. However, when it comes to the Conservatives’ main proposal for spending money, let us be absolutely clear that we are spending money to help the unemployed whereas the Conservatives’ first priority is an inheritance tax cut for the 3,000 top estates in the country.
What further indication do we need of Conservative priorities than the fact that the motion for today’s debate on the economy does not even mention the word “unemployment”? That is how they feel. They are the party of the few; we are the party of the many.
Six months ago today, a constituent of mine, Claire Walker, died of cervical cancer. She was 23 years of age. Will the Prime Minister join me and Claire’s family, friends and supporters who are campaigning in London today in wholeheartedly welcoming last Friday’s announcement that there will be a full, independent and comprehensive review to consider the urgent case for the reintroduction of cervical cancer screening for young women under 25?
I appreciate everything that my hon. Friend said. Any family that is suffering because of cervical cancer—or, indeed, because of any form of cancer—has all our sympathies. We want to do everything we can to help, which is why we have introduced the vaccinations for teenagers—we have extended that programme and are ready to extend it further—and why the independent review that he mentioned will consider the case for making cervical cancer screening available to women under 25. It is our responsibility to look at all the available medical evidence about the risks as well as about the advantages of such screening. That will be done and I assure him that we take seriously the needs of anyone who is facing cancer at this time.
I would like to add my own expressions of sympathy and condolence to the family and friends of the three soldiers who tragically lost their lives in Afghanistan in the last week. With the death toll among our brave servicemen and women now at more than 150, it is right that we should pause to reflect on the immense sacrifice that they and their families have had to endure in serving this country and, of course, the people of Afghanistan.
Does the Prime Minister believe that the culture of frenzied target setting that has been introduced into the NHS by his Government had any role to play whatsoever in the horrific events that occurred at Stafford general hospital?
May I and the Health Secretary first say that we apologise to those people who have suffered as a result of the mistakes that have been made at Stafford hospital? Everybody who uses the national health service has a right, if they put their faith in the NHS at that hospital, to expect the highest standards of treatment. These were not the highest standards of treatment. They have now been investigated, and they fell far short of the standards that people expect. The first thing that we have to do is to assure the families of those who have suffered and relatives who are grieving and who want answers to their questions that there will be independent reviews, if they seek them, of their families’ case notes so that they can be assured of what has happened. That is the first thing that we will do.
The second thing that we have to look at is whether this is a generic problem or a problem at a specific hospital. I am assured by the Healthcare Commission—the chief executive has made a statement today—that there is no equivalent case in all the other NHS hospitals across the country. We should therefore focus on the individual mistakes that were made by management and deal with them. A further inquiry is going on to look at what happened between 2003 and 2005. At the same time, the Care Quality Commission is looking into what lessons we can learn in general from what happened.
When doctors at that hospital have confirmed that they were instructed by their managers to abandon seriously ill patients and to treat people with minor ailments instead in order to meet the Prime Minister’s targets, it is not enough to talk of reviews, inquiries and to blame other people. Will he scrap the mad targets that make hospitals tick boxes rather than look after the desperately ill?
Whatever happened in that hospital is unacceptable and should never be allowed to happen again. I too have looked at all the detail of the evidence in this report, which also says that nursing care standards were poor but that they were never discussed or identified as being poor, that results of patient surveys were available but were never reported to the board of management, and that, at the time of the C. difficile infection, nobody on the board or among the general public ever knew that the rate of infection had doubled. Those low standards of management in the hospital, therefore, must be dealt with by our review.
I take seriously everything that has come out of this case, but I think that it is not unreasonable in the modern age to expect a hospital to have the highest standards of care and at the same time ensure that every cancer patient is seen within two weeks. It is not unreasonable to say that hospitals should have the highest standards of care and ensure that there is a wait of only 18 weeks between a person seeing a doctor and getting an operation. It is not unreasonable to say that the highest standards of care should be pursued in accident and emergency departments and that people should not have to wait for hours before they get treatment.
We will look at all the evidence that is available. The Care Quality Commission will look at it too, but I think that we have to deal with the individual management failures in the hospital and then learn whatever lessons we can for the future of the national health service.
After these damaging revelations about Stafford hospital, there are relatives today in turmoil, wanting to know whether their loved ones’ deaths could have been prevented. I want to press the Prime Minister on what he has just said about reviews. I say that those relatives are entitled to an independent assessment to answer that question for them. Does he agree with that?
There are no excuses for what happened in Stafford hospital—no excuses at all. That is why every single relative who asks for it has a right to have the case notes reviewed independently, and to see the notes themselves. That is what will happen. Relatives will have a right, therefore, to take whatever action is necessary as a result of seeing the papers before them.
At the same time, Mr. George Alberti, who is recognised as being a very pre-eminent surgeon, is going to go to the hospital to look at the progress that has been made, and which has been reported by the Healthcare Commission already. He will ensure that, in future, patients at Stafford hospital have the assurance of the highest standards. The chief executive and the chairman of the trust have been removed. There is a new chief executive who will look at disciplinary procedures wherever they are necessary. We have got to do everything to assure people that they can have the trust that we know that everybody wants to have in the national health service and in every hospital in the country.
If the hon. Lady wants to talk about the future of the regions, I hope that she will join the regional Committees in the House of Commons to debate that. As for the green belt, I think that we are doing more than any Government to protect it, and that is what we will continue to do.
The proposed Mersey gateway bridge will help ease traffic congestion in my constituency and in the constituency of my hon. Friend the Member for Weaver Vale (Mr. Hall). The previous Tory Government turned down the project, which will also create more than 4,000 jobs in Cheshire and Merseyside. Will my right hon. Friend do all he can to ensure that there is no delay in the final decision approval, as this is exactly the sort of infrastructure project that will help economic recovery?
Yes. My hon. Friend has been working very hard and representing the case of his constituents on this matter, and I can assure him that we will look very carefully at what he says. I can tell him that we plan to advance public spending in the year that is coming. We plan to spend £44 billion in the year from April, and that will add to the number of jobs in every constituency.
I am grateful to the hon. Gentleman for that question, and I will look at the matter. I repeat that the investment that is to take place in further education colleges—it is a capital programme—will be £110 million this year. I can also say to him that the Train to Gain programme, in which colleges are often involved, is expanding from 300,000 people to 700,000 and then a million people, so more people will be able to take courses that will give them the necessary skills. Of course I will look at the specific issue in his constituency that he has raised.
I have placed a written ministerial statement in the Library this morning, and I want to update the House about what the Government are doing, so that we can deal unequivocally with the issue of our condemnation of the use of torture. We will now publish, after consultation with the Intelligence and Security Committee, the guidance to intelligence officers and service personnel on detention, and on interviews of detainees overseas. We will invite Sir Peter Gibson, who is a former Lord Justice and the current intelligence services commissioner, to monitor complaints to do with the guidance, and to report to me annually. In order to have systems that are robust, we will ask—
This is a statement.
In order to ensure that our systems are robust, we will ask the Intelligence and Security Committee to consider any developments and relevant information since its last report. [Hon. Members: “This is a statement.”] I have faith in our security services. We must ensure that the public also have all the faith that is necessary in our security services, and we condemn absolutely the use of torture.
What the Prime Minister just said about the hospital in Stafford simply is not enough. We do need a review of the case notes, but we do not just want a Care Quality Commission review. What we need is a full public inquiry to get to the bottom of the matter. It is not enough simply to deal with the issue in the way he described. We need to know whether compensation will be payable to the victims, and we need to ensure that the people responsible who are still on the board are sacked, and not simply suspended on pay.
I know that the hon. Gentleman’s constituency is covered by the hospital as well, so let me reply to him in some detail. All disciplinary matters are being dealt with at the moment by the new chief executive, who is looking at what has happened in the hospital over these last few years in the light of the Healthcare Commission report. A Healthcare Commission report will be followed up by a review into what happened between 2003 and 2006, and an inquiry by George Alberti about whether the standards that have been raised are actually satisfactory for people in the area. At the same time, the Care Quality Commission will look at the standards of health care overall, and look at whether there is an early warning system that could be better in future for dealing with such problems. Individuals, of course, can bring what cases they wish, but I think that they will welcome the fact that the individual case notes are to be made available to them, and are to be reviewed independently.
The 6 million carers in our society are at the heart of the help that is necessary for people who are in need of assistance and care, and we want to do everything that we possibly can to help them. I will happily meet the delegation that my hon. Friend suggests I meet. As he knows, the national carers strategy made proposals about respite care, about training for carers, and about pensions for carers. We are also looking at the allowances that are available for carers. We want to do whatever we can to help that group of people who give their lives to help people who are in difficulty and in need. I look forward to meeting the carers’ organisations.
It does not seem to me incompatible to have locally run health services that are of the high standard that the right hon. Gentleman has asked for and seen in his constituency, and which I have seen in many hospitals and GP-led centres in the country, and to have minimum targets which are objectives that are set and can be met for the country as a whole. I come back to this: do we want to get rid of the objective and, indeed, the guarantee that within two weeks someone suffering from cancer can be seen by a clinician? Do we really want to go backwards on that? Surely that must be a national objective which all people can support.