Cookies: We use cookies to give you the best possible experience on our site. By continuing to use the site you agree to our use of cookies. Find out more
House of Commons Hansard
x
Commons Chamber
26 April 2011
Volume 527

House of Commons

Tuesday 26 April 2011

The House met at half-past Two o’clock

Prayers

[Mr Speaker in the Chair]

Oral Answers to Questions

Health

The Secretary of State was asked—

Neuromuscular Services (North-West)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

1. What progress the NHS North West Specialised Commissioning Group has made in reviewing neuromuscular services in the region; and if he will make a statement. [52548]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

14. What progress the NHS North West Specialised Commissioning Group has made in reviewing neuromuscular services in the region; and if he will make a statement. [52562]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I understand that the North West Specialist Commissioning Group received a report from its neuromuscular services review group at the end of March, and that it has since circulated it to all primary care trust chief executives with a request that it is shared with board members and GP commissioning consortia leads.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The north-west has not seen the investment in extra services, such as transitional care and extra care advisers, that the report recommends, and now the Government’s proposed reforms are causing turmoil in specialised commissioning and real worries about how the commissioning of tertiary services will work in future, so will Health Ministers issue guidance to commissioners to ensure that the investment is made to cover those critical gaps in the north-west, and that emergency admissions are avoided?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thank the hon. Lady for her question, but I reject her assertion that the changes to the NHS—the modernisation of the NHS—have thrown the process into difficulty. Clearly, she feels that there is a problem in the first place. As I am sure she will agree, however, it will be down to the commissioning of the GP consortia and the primary care trusts to decide the best way to provide services in the light of all the information that they have. I understand that the commissioners will feed back to the specialised commissioning group on how they will deal with the recommendations.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The report highlighted that, for an investment of less than £30,000, Manchester primary care trust could ensure that all muscular dystrophy sufferers, including my constituent Ben Dale, have access to specialist care adviser support, saving an estimated £5 million in hospital admissions costs. Does the Minister agree that that investment would be excellent value for money, given that it would help my constituent Ben to live a more fulfilling life and save money for the NHS?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The hon. Gentleman specifically mentions a constituent of his, and I have every sympathy with people coping with muscle-wasting diseases, and indeed with their families. The burden can be quite considerable. The multidisciplinary group that examined services throughout the north-west deserves our thanks for its work, but the fact is that it is for NHS commissioners, PCTs and the emerging GP-led consortia to consider the evidence that they have. Indeed, if money can be saved by commissioning services in a different way, so they should be, but that decision should be taken locally.

Acute Services (Trafford)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

2. What steps he is taking to ensure the provision of acute services in Trafford district. [52549]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

This is a matter for the local NHS. Every NHS trust has a duty to provide the best quality care for its patients. The Government believe that the delivery of health services should be led locally, with clinicians working with GPs and patients to ensure that their needs are met.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful for that answer and for the Minister’s letter to me last week, but, having already lost paediatric and maternity services recently, and with the decision not to provide trauma services in Trafford, local people are understandably anxious about further services being lost. Is the Minister confident that sufficient independent oversight is in place to ensure that the needs and wishes of local people are adequately met?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I hope that I can reassure the hon. Lady, because if there were to be any reconfigurations in the future—I put that in the conditional tense because the relevant trust is confident that there will not need to be any—quite clearly the four tests that my right hon. Friend the Secretary of State introduced last May would have to apply. There would have to be full consultation with local people and with clinicians, GPs and others in the health economy.

NHS Reform

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

3. What processes he has put in place to allow lay members of the public and elected public representatives to contribute to discussions on the reform of the NHS. [52550]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Following formal consultation last year, and as I told the House on 4 April, we are taking this opportunity to pause, listen, reflect and improve the Health and Social Care Bill. A total of 119 events have already been organised centrally, and the regional and local NHS will organise many more. Those events will allow us to hear a full range of views from professionals, the public and patients.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Health Secretary knows that colleagues welcome the pause and the opportunity to reflect on what changes might be beneficially made to the legislation. Will he assure us that lay people and elected representatives, such as councillors and others, will be fully engaged in the process? The professionals have had their say, and they have very strong views, but the patients and elected people need to have their say, too.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes. I am grateful to my right hon. Friend, and I can give him that assurance. Indeed, one reason why it is important to pause and to listen now is not least that shadow health and wellbeing boards have been put forward by 90% of relevant local authorities in England, and it is an opportunity for them to be very clear about how we can improve patient and public accountability. I hope that they and others will take that opportunity. As my right hon. Friend knows, the Bill already substantially improves both the public and the patient voice in the NHS, and we have to ensure that we take every opportunity now further to improve it.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

If the Government do come back with some major changes to the Bill, will those changes go out to public consultation, and will this House have the opportunity to oversee and to look in detail at any further proposals they may make?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I think I made it clear to the right hon. Gentleman in the House on 4 April that we were looking to pause, to listen, to reflect and to improve the Bill, and we are taking the opportunity to do so now, before Report and Third Reading.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Can my right hon. Friend confirm that in the listening exercise it is his intention, in addition to listening to representatives of local authorities and the public, to ensure that we fully take account of the views of representatives of the full range of clinical opinion within the health service—nurses, hospital doctors and community-based clinicians as well as GPs?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes. My right hon. Friend will know that we have done that in the past, and we continue to do so. Just as early implementers of health and wellbeing boards have an important voice in how local authorities will strengthen public accountability and democratic accountability, we also now have an opportunity that we did not have in the consultation last year for the new pathfinder consortia, as they come together—88% of the country is already represented by them—to have their voices heard. I hope that the public generally will exercise this opportunity too. I know that groups representative of patients are doing so and very much want to get involved in these discussions.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Secretary of State will be aware that if Lib Dem MPs were seriously opposed to this reorganisation, they could have voted against it on Second Reading—so how can he expect the public to take these discussions and the listening exercise seriously? Are they not just a device to get the coalition through the May elections, and is he not determined to get away with as little substantive change as he can manage?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On the contrary—the hon. Lady should know, because I made it clear on 4 April, that my objective, and that of the Prime Minister, the Deputy Prime Minister and all of the Government, is further to strengthen the NHS, and we will use this opportunity to ensure that the Bill is right for that purpose. The reason Government Members supported the Bill on Second Reading, and Labour Members should have done so, is that, as the right hon. Member for Wentworth and Dearne (John Healey) said, the general aims of reform are sound.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As part of the listening exercise, will the Secretary of State confirm that the public, patients and medical professionals will be listened to? Many of them want to see root-and-branch reform of the NHS in order to improve its effectiveness and efficiency and improve patient outcomes.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, my hon. Friend is right. We have an opportunity, which we want to realise to its fullest potential, to improve many of the ways in which patients and the public are involved. For example, we want to arrive at a point where patients feel that the invariable response of the NHS to their need is that there is no decision about them without them. We are proposing in the Bill to strengthen the scrutiny powers of local authorities. We are also proposing to bring in a patient voice through HealthWatch and HealthWatch England that has not existed since the Labour Government abolished community health councils, and we are going to strengthen substantially democratic accountability through health and wellbeing boards.

Diabetes

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

4. What his policy is on funding for a national framework and quality of service guidelines for diabetes patients. [52551]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

To support the NHS in improving outcomes, the National Institute for Health and Clinical Excellence has published a quality standard for diabetes building on the existing national service framework, which provides an authoritative definition of good-quality care. Under proposals in the Health and Social Care Bill, quality standards will have a central role within the new system’s architecture.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I declare my interest as someone who has type 2 diabetes, and remind the Minister that we currently spend 10% of the NHS budget—£1 million an hour—on diabetes-related illnesses? Does he agree that what is central to this framework is providing funding for prevention? If we can prevent and assess diabetes, we will save a great deal of money in the long run.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I certainly agree with the right hon. Gentleman that prevention is undoubtedly the right way forward, but earlier diagnosis is also very important. That is why we continue, as a Government, to support the roll-out of NHS heath checks for people aged 40 to 65 as a way of ensuring that we detect more readily and earlier so that we can provide the appropriate support.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Just 10 minutes ago, I met representatives of Diabetes UK, who want to see greater emphasis on integration and co-operation between and within services in the NHS Bill. Can I assume that they will not be disappointed?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As my right hon. Friend the Secretary of State has already indicated in today’s exchanges in this House, we are committed to listening and reflecting during this pause, and to ensuring that we come back with substantive improvements to the Bill to deliver its central purpose of improving health care for the people of this country.

Out-of-Hours Surgeries

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

5. How much his Department allocated to the provision of out-of-hours surgeries in the last 12 months for which figures are available; and if he will make a statement. [52552]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Government do not allocate centrally how much money is spent by local NHS providers on out-of-hours services. However, in 2009-10, the last year for which figures are available, £403.8 million was spent on out-of-hours GP services in England and £1.6 million was spent on out-of-hours services in Coventry. We plan to give GPs and other health professionals greater powers to commission out-of-hours care to achieve high quality, integrated services that are focused on the needs of patients.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given that waiting times in emergency units are increasing, what will the Minister do to protect out-of-hours clinics?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It was, of course, the hon. Gentleman’s Government who did so much to undermine the provision of out-of-hours services. We propose not only to review the existing framework, but to ensure that there are the real improvements that benefit patient care, which are so badly needed.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will my right hon. Friend ensure that there are no artificial constraints so that GPs, even though they may be commissioners, can ensure that they provide out-of-hours services in combination with clinics and ambulance services?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to my hon. Friend for raising that important issue. I assure him that there are mechanisms in the Health and Social Care Bill to provide protection so that there are not the problems that he anticipates.

Health and Social Care Bill (Cross-border Implications)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

6. What discussions he has had with Ministers in the Welsh Assembly Government on the cross-border implications of the Health and Social Care Bill. [52553]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Secretary of State for Health met Ministers of the Welsh Assembly Government on 1 December last year to discuss the future of the cross-border commissioning protocol, and I am meeting the Under-Secretary of State for Wales in the next few weeks. It was agreed that until the forthcoming changes in the Health and Social Care Bill are finalised, no substantial changes to the cross-border protocol should be introduced, as is right. The protocol, which expired on the 31 March this year, has therefore been renewed for one year with minimal changes.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

More than 200,000 people from Wales, including people from my constituency, access services in England at the Countess of Chester hospital, Clatterbridge, the Christie, and the Walton in Liverpool. More than 50,000 people from England access health services in Wales. What guarantees can the Minister give me that the proposed changes in the Health and Social Care Bill will not wreck those arrangements?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

There is absolutely no reason why they should. I thank the right hon. Gentleman for raising this issue. It is worth pointing out that there are many areas of commonality between the health services in England and Wales. Of course, it is up to the Welsh Assembly Government to decide what scale of finance and resource they provide. I am aware that there are some cross-border issues that clearly need to be resolved.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will the Minister confirm whether funds will be held by the consortia or the GPs in the practices, because there is confusion among GPs in my constituency of South Dorset on that point?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

With reference to the discussions that have been held with the Welsh Assembly Government.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful, Mr Speaker. I was going to make that point. Although Dorset is a long way from Wales, I assure the hon. Gentleman that GPs will not have the money in their personal bank accounts.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Minister will know from the Welsh Affairs Committee report that there is considerable traffic of people accessing GP services across the border in both directions, with the net benefit going to England. Will she reassure me that the interests of people on both sides of the border will be served when the Health and Social Care Bill is finally enacted?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, I assure the hon. Gentleman that the Health and Social Care Bill aims to resolve as many of the problems that we know about on the border as possible.

Social Care (Eligibility Criteria)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

7. What estimate he has made of the number of local authorities which changed their eligibility criteria for social care in the last 12 months. [52554]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Decisions about eligibility criteria are a matter for local councils. As part of last year’s spending review, the Government committed an additional £530 million through the local government formula grant, and £648 million in direct support from the NHS, to support social care, as well as £150 million for re-ablement. By 2014, that will rise to £2 billion of additional support for social care.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Is the Minister aware that according to a recent survey by the Association of Directors of Adult Social Services, 19 local authorities including my own, Calderdale, have had to raise the eligibility criteria for social care because of the cuts that they have received from the Government? Does he stand by his statement of 21 October that there is

“no justification for local authorities to slash and burn or for local authorities to tighten eligibility”?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I certainly stand by the idea that the Government provided adequate resources in the financial settlement last year, alongside efficiency savings, to ensure that every local authority could choose to maintain the current levels of eligibility and services in its area if it so wished.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will the Minister examine situations in which domiciliary care contracts are awarded under the EU public procurement directives, to ensure that especially when they are awarded on price, they are not dumbed down and the level of service reduced?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My hon. Friend makes an important point about ensuring that competition is always based on quality, not just price. If she would like to write to me with more details about the matter, I would certainly be happy to follow it up with her.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Since the Government are no longer doing an assessment of the provision of social care by local authorities, I have done it for the Minister. My survey has found that not only have eligibility criteria been tightened, but 88% of councils are increasing their charges, 63% are closing care homes and day centres and 54% are cutting funding to the voluntary sector. Now that I have told the Minister the facts, will he take back his comment that

“no councils need to reduce access to social care”?

Would he like to start being straight with the public?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I will take Labour facts with a pinch of salt. Under Labour, social care was always very much the poor relation. Under this coalition, social care has received a £2 billion spending boost and an unprecedented transfer of resources from the NHS—something that the hon. Lady’s party, if it had been in power, would not have been able to do, because it would have been busy cutting the NHS.

NHS (Rochdale)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

8. What plans he has to visit NHS services in Rochdale; and if he will make a statement. [52555]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My right hon. Friend the Secretary of State for Health visited the Pennine Acute Hospitals NHS Trust, which delivers services to the people of Rochdale, in June last year. There are no immediate plans to repeat the visit.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The reason I asked the question is that the people of Rochdale are extremely concerned about how Rochdale infirmary is being run and believe that the Pennine acute trust is not accountable. The Minister and the Secretary of State will be aware of the recent Channel 4 “Dispatches” programme, which showed the trust and its chief executive in a very poor light. The reconfiguration of services there has been handled very badly. May I ask the Minister, as a matter of urgency, to act upon all the concerns and investigate the management of the Pennine acute trust?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thank the hon. Gentleman for his question. I am aware of the recent “Dispatches” programme and the fact that the Pennine Acute Hospitals NHS Trust is implementing a number of service changes in a number of areas, including Rochdale. Those changes are part of the “Healthy Futures” and “Making it Better” programmes, both of which have been subject to full consultation with local people. NHS North West has confirmed that both programmes meet the four tests for service change, but if the hon. Gentleman continues to have concerns, I am sure one of the ministerial team will deal with them personally.

Front-line Services

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

9. What steps he is taking to maintain front-line services in the NHS. [52556]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We are increasing funding for the NHS in each year of this Parliament, amounting to an increase of £11.5 billion over its course. Over the next few years, planned improvements in the efficiency of use of NHS resources, increasingly led by front-line staff, will support modernisation of the NHS to respond to rising demand and new technologies. Not least, we are cutting administration costs across the system by one third, saving £1.7 billion a year, every penny of which will be available for reinvestment in front-line services.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will the Secretary of State join me in praising the work of chief executive, Glen Burley, and the excellent team of health professionals at Warwick hospital, who are improving community care while seeking to reduce management costs? Will the Secretary of State also take the opportunity to visit Warwick hospital to discuss how those things can be done at local level?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am glad to endorse my hon. Friend’s congratulations to the staff and team at Warwick hospital. I hope to have an opportunity to visit that hospital at some future date. Across the NHS, we are setting out not least to increase productivity and efficiency, stimulate innovation, reduce administration costs and put more decision-making responsibility into the hands of those who care for patients, which the Labour party failed to do.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

How can the Secretary of State convince people that he is protecting front-line services when a flagship Bill such as the Health and Social Care Bill is in such disarray? While he is pausing and listening and reflecting on that Bill, will he also consider whether the House will have a further opportunity to consider his reflections, because we are through the Committee stage? Will there be another Committee?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The hon. Gentleman misses the point that what matters to the public is the quality of services that are provided to them. When he asked his question, he might have reflected on the simple fact that the Labour party told us before the spending review to cut the budget of the NHS. We refused to do that, which means that this financial year, £2.9 billion more will be available for the NHS to spend than it spent last year.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

A crucial front-line service is the provision of stroke care. Can the Secretary of State confirm that under his proposed reforms, local clinical practitioners will have much more influence over the location of those stroke services than in the current situation, when management can make somewhat arbitrary changes?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, I can confirm that. We are looking for commissioning consortia not only to lead from a primary care perspective on behalf of patients, but to work on commissioning services with their specialist colleagues. Of course, the stroke research network has formed a strong basis upon which such commissioning activity can take place.

There have been many improvements in stroke care. Over the last year, we have seen a significant improvement in performance in relation to responses to transient ischaemic attack, and I hope we continue to see improvements in future.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Last year, the Prime Minister made a very clear pledge to protect front-line NHS services. Will the Secretary of State confirm that in the run-up to next year’s Olympics, which will bring around 1 million extra people to the capital, the London ambulance service is cutting 560 front-line staff? Will the Secretary of State also confirm that nationally, A and E waits of more than four hours are up 65%, that the number of patients waiting more than six weeks for their cancer test has doubled, and that more patients are waiting for longer than 18 weeks than at any time in the last two years? Will he now admit that the Prime Minister’s pledge to protect front-line care is unravelling even faster than the Secretary of State’s chaotic Health and Social Care Bill?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

There were three questions there, but I know that the Secretary of State will provide a characteristically succinct reply.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Thank you, Mr Speaker. None of those questions reminded the House that the Labour party wanted to cut the budget of the NHS, nor that in Wales, a Labour-led Welsh Assembly Government are cutting the NHS budget in real terms—there is no increase at all.

Let me tell the hon. Lady that waiting times in the NHS are, on average, nine weeks for patients who are admitted and three and a half weeks for those who are not admitted. That is broadly stable.

The hon. Lady will know that the chief executive of the London ambulance service, Peter Bradley, has made it clear that the ambulance service, like the NHS, needs to maintain front-line services while continually improving efficiency. That will happen in the ambulance service and it will happen right across the NHS.

Health and Wellbeing Boards

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

10. What progress he has made on the establishment of local health and wellbeing boards. [52557]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Almost nine out of 10 local authorities have signed up as early implementers to press ahead with the setting up of health and wellbeing boards. Councillors, clinicians and local communities have told us that by working together through those boards, they can and will improve health and care outcomes for local people.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Does my hon. Friend agree that giving greater public health powers to the health and wellbeing boards will allow more targeted help in our local communities?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Absolutely. By bringing public health home to local government we will have the opportunity to ensure that many of the underlying causes of ill health can be tackled more effectively, and that is why we are making the reform in this way. By having a health and wellbeing board that brings together all the interested parties we can also ensure a far more integrated approach.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will the hon. Gentleman persuade the Secretary of State to come to Yorkshire and perhaps speak to a small group of people—no more than 60—in a quiet room about what these boards are supposed to do? Who will be on them, how accountable and transparent will they be, and will they have any teeth?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My right hon. Friend of course is more than happy to go to all sorts of places to talk to people about the health reforms. However, local government fully supports this particular proposal and sees it as a vital innovation for the involvement of local government in the health service. It will be transparent because it will be part of the local authority and will meet in open.

GP Pathfinder Consortia

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

11. What recent assessment he has made of progress by GP pathfinder consortia in delivering improvements in NHS services. [52559]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am delighted that nearly 90% of the country is now covered by pathfinder consortia, including my hon. Friend’s constituency, where the eastern Devon consortia chairs board pathfinder is up and running. I know that one area on which these emerging consortia are focusing is providing better, more flexible services for patients in community settings. We are supporting all the pathfinders through the pathfinder learning network, which is already showing a wide range of examples of where clinician-led commissioning is delivering benefits for patients.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I welcome the Secretary of State saying that the consortium in my constituency is up and running. Will he also take this opportunity to ensure that through these consortia patients can get better access to their doctors? Labour paid doctors a great deal more money, but patients actually got less access to their doctors.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

That, indeed, will be one of the areas on which the quality and outcomes framework for individual GP practices will focus. In addition, however, through the commissioning outcomes framework for the NHS as a whole, one area in which we want to see continuing improvement in quality is patient experience and outcomes as reported by patients. GPs and their clinical colleagues will therefore be incentivised continuously to improve quality.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Can the Secretary of State tell us how much this consultation exercise is costing the public purse?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

No, I cannot, but I will write to the hon. Lady.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Secretary of State knows that many of us have received e-mails from constituents, the majority of which have been cut and pasted from a left-wing website. The impression given of the role of the GP consortia bears little relationship to that of GP leaders in my constituency such as Elizabeth Johnston. Will he confirm that he will listen very carefully to the experience and expertise of my local GP leaders, and not a left-wing motivated campaign?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My hon. Friend will know, like I do, that his GPs in Reading have already commissioned a new care pathway for people with lower back pain, which means that instead of having to go to hospital appointments, patients can be seen in their own homes by physiotherapists or occupational therapists offering practical advice and assistance in managing pain. Those are practical steps led by front-line staff, the purpose of which is to improve care for patients.

Hospital Services

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

12. What arrangements he has made for continuity of provision of existing hospital services under his proposed reforms of the NHS; and if he will make a statement. [52560]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Commissioners would remain responsible for securing continued provision of NHS services to meet the needs of their local populations. We are proposing to support commissioners in this by introducing a comprehensive system of regulation at national level and additional regulation for designated services.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Minister told the Bill Committee that some accident and emergency services might be undercut by private providers, which could force them to close. Will the Government bring forward amendments to the Bill to safeguard existing A and E services in all areas, including Merseyside?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I know that the hon. Lady does not want to mislead the House, but she is totally, factually incorrect in how she paraphrased what I said in the Health and Social Care Bill Committee. As any hon. Member who was there will know, I tried to be helpful to the hon. Member for Leicester West (Liz Kendall)—it is the last time I will—and gave her an illustrative example of how designated services would work. However, I did not say what the hon. Member for Liverpool, Wavertree (Luciana Berger) attributed to me.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Clinicians at the West Suffolk hospital in Bury St Edmunds are concerned that they will get the same tariff for an operation as a private sector provider, even though the NHS has to carry the cost of training whereas, on the whole, the private sector does not. What steps will the Minister take to address this perceived unfairness?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I should like to reassure my hon. Friend. As he will know, we do not propose to introduce price competition into the NHS; rather, we propose to introduce competition based on quality. His clinicians are correct that the price will be the same. However, they must remember that we are going to stop the practice of the last Government, who, with independent sector treatment centres, paid the private sector over 11% more per operation than they were prepared to pay the national health service.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I call Mr Derek Twigg.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

indicated dissent.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thought that the hon. Gentleman wanted to come in on this question. That is what I have been told, but never mind: we will wait to hear his dulcet tones in due course.

Non-Emergency Phone Number

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

15. Whether he has made an assessment of the effectiveness of the 111 non-emergency number; and if he will make a statement. [52563]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

NHS 111 is currently being piloted in County Durham and Darlington, Nottingham city, Lincolnshire and Luton, and a full independent evaluation of these pilots will be available in spring 2012.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

In Durham, 111 calls are being answered by telephone receptionists without any medical training. They run through a list of pre-scripted questions and frequently divert ambulance paramedics away from 999 calls. Clearly that is risky. Will the Minister look into that before the number goes nationwide?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am sorry, but the hon. Lady is a little bit confused. She says, rather dismissively, that the calls are being answered by telephonists. These are non-medically trained people who have nurses and GPs available to give them help and advice as and when the callers demand it, because of the complaint or problem that they are raising. The beauty of the 111 service is that people do not have to wait to be called back, as they do with NHS Direct. Instead, the people trained to help callers will point them towards the appropriate care—which in some cases will be the emergency services—and they are right to do so when this has been clinically determined.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Can my right hon. Friend assure the House that 111 telephone operators will be trained to the same level as 999 telephone operators?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, absolutely.

Health and Social Care Bill

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

16. What amendments he plans to table to the Health and Social Care Bill. [52564]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As I told the House on 4 April, we are taking the opportunity presented by a natural break in the legislative process to pause, listen, reflect and improve our plans for modernisation of the health service. We will consider what amendments are required in the light of this.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Health and Social Care Bill is undoubtedly one of the most controversial pieces of legislation being proposed by the coalition. May I push the Secretary of State a little further on some of the answers that he has given my hon. Friends and ask him exactly how he will ensure adequate parliamentary time to scrutinise the amendments that he will bring forward?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am not sure that I necessarily subscribe to the hon. Gentleman’s premise. This issue is important and it warrants the kind of attention that we are giving to it, and there is an opportunity to listen, reflect and improve the Bill because we want to ensure that we can thereby strengthen the NHS. On strengthening the NHS, I am surprised that the hon. Gentleman did not take the opportunity to refer to the £12.9 million increase in the budget for Tameside and Glossop PCT this year—something that Labour would not have offered. The truth is that we are going to strengthen the NHS through the Health and Social Care Bill, as we are strengthening it through our commitment to the priorities of the NHS.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Has my right hon. Friend had any further thoughts on the effect of HealthWatch England’s representatives being included in local health and wellbeing boards? Does he think that the provisions are sufficiently robust to ensure that they have an impact on commissioning?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As my hon. Friend knows, we intend health and wellbeing boards to bring together HealthWatch, plus councillors, commissioning bodies and providers, as part of the process of local representation, so that we can link up NHS commissioning with public health and social care, to see how they collectively meet the joint strategic needs assessment led by the local authority.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I call Diana Johnson.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

rose—

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I apologise to the hon. Member for Kingston upon Hull North (Diana Johnson). The change of mind on the part of the Opposition Front Bench fazed me, for which I apologise. The hon. Member for Halton (Derek Twigg) wants his opportunity to ask a question, and he should have it.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Thank you, Mr Speaker. I think there was some confusion between questions 13 and 16.

We obviously want to see important improvements to the Bill, including the deletion of part 3, which drives competition to the heart of the NHS, and of clause 150, which removes the private patients’ income cap. I also want to ask the Secretary of State a specific question. On 16 March, during the Bill’s passage through the House, the Prime Minister said to the Leader of the Opposition:

“Perhaps he would like to…support our anti-cherry-picking amendment.”—[Official Report, 16 March 2011; Vol. 525, c. 292.]

Will the Secretary of State tell us whether it is still the Government’s policy to table such an amendment in this House, or whether they intend to do so at a later stage?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As I said earlier, when we have completed this process of listening and reflecting, we will table amendments to the Bill. I will tell the House about them then, just as I told them on 4 April that we were going to go through this process. Let me make it clear that we are intending not to allow cherry-picking. We intend to make it absolutely clear to the private sector or anybody else that they must not be able to compete with the NHS on uneven terms because, actually, that is what the last Labour Government did. Under that Government, we ended up with £250 million being spent on operations in private hospitals that never took place because of the poor nature of the private sector provision that they put in place. We are not introducing competition into the NHS through this Bill. Why does the hon. Gentleman suppose that the last Labour Government set up the competition and co-operation panel, if not—

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Order. I am grateful to the Secretary of State. I call Diana Johnson.

Local Authorities (Public Health Duties)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

17. How much funding he plans to allocate to local authorities in order to perform their new public health duties in each of the next three years. [52565]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We want local authorities to have the powers and the resources that they need in order to make a real difference to the health and well-being of their local populations. Shadow allocations for the local ring-fenced public health budget will be announced later this year.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Hull’s Lib Dem council does not have a very good record on public health. It is currently slashing services delivered to children through its children’s centres and early years services. We all know that public health can be improved by that early investment. What is the Minister going to do to ensure that councils take their wider public health responsibilities seriously?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thank the hon. Lady for her question. With resources come responsibilities. I am pleased that the hon. Member for Hackney North and Stoke Newington (Ms Abbott) has welcomed the shift in public health. There is no doubt about it: local authorities have a long history of delivering public health improvements, and this will give them the opportunity to see again some of the improvements that were long awaited under the last Government.

Children with Disabilities

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

20. What assessment he has made of progress in providing co-ordinated medical assessments for children with disabilities. [52568]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Department for Education Green Paper, “Support and aspiration: a new approach to special educational needs and disability—a consultation”, was published in March and includes a proposal to develop a single new co-ordinated assessment for education, health and care plans by 2014. The consultation on the Green Paper continues until June 2011, and I hope that the hon. Lady will respond to it.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

That was a very interesting answer, particularly as the Prime Minister told me on 30 March that this

“idea is rapidly becoming Government policy.”—[Official Report, 30 March 2011; Vol. 526, c. 340.]

Can the Minister tell us whether she intends to table an amendment to the Health and Social Care Bill to ensure that those crack teams of medical experts that the Prime Minister promised would be set up will be set up by GP consortia?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Families of children with disabilities and special needs will welcome the single, co-ordinated assessment. We have to see health and social care working more closely together, because those families bear a considerable burden of care. I would point the hon. Lady towards the consultation, and I suggest that she points her constituents towards it as well, as it is extremely important that we get their feedback.

Patient Choice

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

22. What steps he is taking to extend the choice that patients have over the treatment they receive from the NHS. [52570]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Government have consulted on proposals to give patients greater choice and control over their care and treatment. We have deferred publication of our response to take into account the results of the listening exercise.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thank my right hon. Friend for that answer and refer him to the King’s Fund paper, “Patient choice”, which was published in March 2010. Does he agree that people value being able to choose and that the exercise of choice raises standards and encourages NHS providers to design services around patients and their needs?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My hon. Friend is absolutely right. I am certainly aware of the King’s Fund publication. The report was cited as a key source of evidence in the consultation document, “Liberating the NHS”. The Department of Health welcomes this significant contribution to the evidence base, which will inform how we implement the choice commitments set out in the White Paper, “Equity and excellence: Liberating the NHS”.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

When I was first elected, I regularly received letters from constituents who were concerned about how long they had to wait for treatment. During the years of the Labour Government, those letters went away, but they are coming back again. What I know from my constituents is that their main choice is not to have to wait. Is that a choice that this Government are going to offer them or will waiting times increase?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The choice this Government will offer them will make sure that they get the finest quality health care, where they can exercise their choice of which hospital to go to, which consultant to see, which GP to see, without having to wait unduly for that treatment.

Topical Questions

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T1. If he will make a statement on his departmental responsibilities. [52573]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My responsibility is to lead the NHS in delivering improved health outcomes in England; to lead a public health service that improves the health of the nation and reduces health inequalities; and to lead the reform of adult social care, which supports and protects vulnerable people.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Alzheimer’s Society predicts that by 2021, there will be a million sufferers from dementia in this country. Will the Secretary of State reassure my constituents that those people suffering from it will get the support they need—now and in the future?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, I can tell my hon. Friend that the response to dementia is a key priority for this coalition Government. I think we have already demonstrated it in our commitment to dementia research. We need to improve both earlier diagnosis of dementia and the possibilities for treatment. We have demonstrated our commitment to improving standards in dementia care, both in hospitals and in care homes, and, indeed, in the further work we have done on reducing the use of anti-psychotic medicines.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

How does the Health Secretary square the Prime Minister’s promise to pause in his changes to the NHS with the NHS chief executive saying a week later:

“I want to stress very firmly that we need…to maintain momentum on the ground.”

With the Government’s health Bill, are we not seeing both rushed pre-legislative implementation and confused post-legislative policy making? If the Prime Minister really gets cold feet about his NHS changes, let me ask the Health Secretary for a fourth time whether the Government will guarantee the extra time needed for this House to examine the changes fully?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Let me be clear about the right hon. Gentleman’s point. Both things are entirely compatible because there are 220 GP-led consortia that have come together as pathfinders to demonstrate how they can improve commissioning and the service to their patients; 90% of local authorities have come together in health and wellbeing boards; while at the same time, we have to deliver the challenge of improving productivity, quality and efficiency. All of that requires us, on the ground, to continue the momentum of improvement for patients. At the same time, we are listening not least to all those clinicians and members of the public who want to be sure that the Bill will provide them with the opportunities for involvement and the safeguards they are looking for in the NHS in the future.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Health Secretary ducked for the fourth time this afternoon the question of whether he will do right by this House in allowing sufficient time for proper scrutiny of any changes to the Bill that come forward. While he is listening, will he consider the risks he is running with the NHS? The Prime Minister promised a real rise in NHS funding, yet this year more than nine out of 10 hospitals are faced with cutting costs by more than 4%; one in seven by more than 8%; while nearly £2 billion for patient care is being held back to cover the costs of the internal NHS reorganisation. Will he admit that this reorganisation is now piling extra pressure on NHS funding and services so that patients are seeing waiting times rise, operations cancelled and front-line staff jobs cut as the NHS starts to go backwards again under the Tories?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I find the hon. Gentleman’s cheek astonishing. It was his party which, before the election, announced its intention of making up to £20 billion of efficiency savings, it was his party which told us after the election that the NHS should be cut, and it is his party which is actually cutting the NHS in Wales. It is the coalition Government who have made decisions that will give the NHS £2.9 billion—a 3% cash increase—and, because of the way in which we are tackling the costs of management, will put more people on the front line. Following the election, there are 3,500 fewer managers and 2,500 more doctors and nurses.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T2. The Secretary of State is well aware of concern in the Yorkshire area about the review of children’s heart units, and I thank him for his recent letter, but does he accept that there is a contradiction between the logic applied to the south of England and that applied to the north, where 14 million people rely on the fact that the children’s heart unit in Leeds is only a two-hour drive away? [52574]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I should make it clear that the review is being led by the Joint Committee of Primary Care Trusts, not by the Department of Health, and that it is being conducted by an independent team who are employing an independent consultative process. My colleagues and I have made no decisions so far, but we will expect all the points made by the hon. Gentleman and others throughout the country about paediatric cardiac surgery to be taken fully into account in the consultation.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T4. The Secretary of State will be aware that, according to the quarterly monitoring report from the King’s Fund, waiting times have hit a three-year high. Does he accept that that is a direct result of his actions, particularly the abolition of the centrally managed target in June last year? [52576]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I can tell the hon. Gentleman that waiting times in the NHS are stable. The average waiting time for patients who are admitted to hospital is nine weeks, and the average waiting time for out-patients is three and a half weeks. I think that people in the NHS might reasonably say that it is not fair to cite February 2011, when patients waiting for elective operations could not be admitted because critical care beds were occupied in the immediate wake of a severe winter and the largest flu outbreak since 1999.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T3. According to recent press reports, hospitals have used money earmarked for front-line NHS services to pay salaries to trade union officials. Does my right hon. Friend consider it acceptable to spend taxpayers’ money on paying union hatchet people, and will he order an investigation? [52575]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Government consider it right for NHS staff to have access to trade union representatives at work, but that should not be abused. Arrangements for reimbursing staff for trade union activities should be agreed locally between trusts and unions. There are no current plans to review union facility time.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T6. Given that, according to the King’s Fund, waiting times are increasing as a result of the reorganisation, does the Minister expect things to improve now that the financial squeeze is starting to bite? [52578]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As I have already explained, I do not accept the premise; but would the hon. Lady apply the same logic to the fact that the number of cases of hospital-acquired and health care-acquired infection has fallen substantially over the past year, the fact that access to services for strokes and transient ischaemic attacks has improved, and the fact that diabetic retinopathy and bowel cancer screening are improving? Would she argue that those developments are a result of our reforms? No, because our reforms have not been implemented., but we are making the investment in the NHS that the Labour party would not make, and we are giving the NHS the credit, which the Labour party would not do.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T5. There is some concern about whether GP consortia will be given enough specialist support when commissioning integrated cancer services. Will my right hon. Friend use the pause in the passage of the Health and Social Care Bill to consider extending the guarantee for cancer network funding from 2012 to 2014, when the transition period ends and GP commissioning comes fully into effect? [52577]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to the hon. Gentleman for his question. The listening exercise is a genuine one, and we intend to bring forward appropriate changes as a result. I can certainly give the commitment that we will want to take on board such representations. We are, and consistently have been, committed to such clinical networks for the valuable contribution they make.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T7. If Bassetlaw council refers the reconfiguration of accident and emergency, paediatric and maternity services at Bassetlaw district general hospital to the Secretary of State, what criteria will he use to make a decision? [52579]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Under those circumstances, if a referral is made to me, I will wish to apply the kind of criteria that I set out last year for reconfigurations across the country for the first time: that they must meet the tests of being consistent with the result of any public consultation and with the public’s view, with the views of prospective future commissioners—such as the commissioning consortia that are coming together as a pathfinder in the hon. Gentleman’s constituency—and with the future choices made by patients about where and how they want services to be provided to them, and that they must meet clinical criteria for safety and quality.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I join my hon. Friend the Member for Leeds North West (Greg Mulholland) in urging the Secretary of State to protect the children’s heart unit at Leeds hospital as it is a very worthwhile facility for people in Yorkshire, and does my right hon. Friend the Secretary of State agree with me that doctors should go to where the patients are, rather than the other way around by expecting patients to travel for many hours to get to such an important service?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to my hon. Friend for his question, but in response I will simply reiterate what I said to our hon. Friend the Member for Leeds North West: that these matters are currently the subject of consultation by an independent group representing the primary care trusts collectively, and not by the Department of Health at this stage.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T8. Given the concerns of researchers and medical research charities and their belief that the research provisions in the Health and Social Care Bill should be strengthened, what discussions has the Secretary of State had with the medical research community during this pause? [52580]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The hon. Lady will know that the Health and Social Care Bill does make specific provision for NHS organisations to have regard to the needs for research. She will, I hope, also be very well aware that, by virtue of decisions made by this Government in the spending review, we have been able to sustain the level of research in the NHS. In particular, I was recently able to announce a new 30% increase in funding for translational research funded through the NHS.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

When the consultation on the future of children’s heart surgery units is complete, will the Secretary of State bear it in mind that it would be a preposterous and perverse conclusion that the unit in Southampton, which is one of the two best in the country, should be threatened with closure?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am, of course, aware of these issues, which have been raised by colleagues on both sides of the House. At this stage, may I simply reiterate that the consultation team should consider the points that I know my hon. Friend and others are making to it? After the consultation team has fully reflected on all the points, I hope Members will be able to see that it has fully taken them into account in whatever proposals it brings forward.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

T9. The Secretary of State has just appeared to blame the rise in waiting times on, as it were, the wrong kind of snow. Can we infer from that that if waiting times continue to rise over the coming months, he will reinstate the targets that brought waiting times down and kept them low? [52582]

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The point I made was that average waiting times are stable. Maximum waiting times continue to be a right of patients under the NHS constitution. I recommend that the hon. Gentleman should go to Luton and Dunstable hospital and discuss with the staff there how they dealt with a combination of circumstances that led to there being unprecedented pressure on critical care beds. He must know that if hospitals do not have critical care beds immediately available, it is not in the patients’ interests for the hospitals to bring some patients in for elective surgery. That had an inevitable consequence on waiting times for a small minority of patients.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I have received representations from constituents regarding the reclassification by the primary care trust of elderly relatives for continuing health care funding, with severe needs apparently becoming moderate over time. Does the Secretary of State share my concern about this, and how widespread is this practice in the current climate?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My hon. Friend’s point is important and I regularly receive correspondence about this from hon. Members from all parts of this House. If she wishes to write to me, I will be happy to discuss the matter with her further, once I have had a chance to look at the details.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given that Department of Health officials are actively discussing the privatisation of my local trust behind closed doors and are signing secret documents, will the Minister publish all those documents and will he make a statement in the House about the Government’s plans to privatise some of our NHS hospitals?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am afraid that I do not accept the premise of the question. May I tell the hon. Gentleman that this Government are not seeking and will not ever seek to privatise either the whole of the NHS or an individual trust? St Helens and Knowsley Teaching Hospitals NHS Trust is, like all other health trusts, currently agreeing plans to achieve foundation trust status by April 2014. That involves ongoing discussions with the North West strategic health authority and the Department of Health to determine the issues the trust faces and the actions needed to address them.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I join my hon. Friends the Members for Leeds North West (Greg Mulholland) and for Shipley (Philip Davies) in supporting the children’s heart unit in Leeds? If the review fails to take full account of, and reflect on, the issues raised, what steps will the Secretary of State take to ensure that that is done so that we can fully understand the problems that would face families in Yorkshire?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I understand my hon. Friend’s concern and that of colleagues in other locations across the country. If—I repeat the “if”—the consultation were not to arrive at what he or others in any specific location regarded as justified conclusions, it would be open to them, as this is a service reconfiguration of the NHS, to seek a referral of the proposal to me as Secretary of State.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Diabetes UK has a strategy to reduce the number of people with diabetes across the whole UK. Will the Minister tell the House what discussions he has had with the Northern Ireland Assembly—the matter is devolved in Northern Ireland—to ensure that the strategy of prevention, awareness and education is followed across the whole of the UK?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The hon. Gentleman is absolutely right, because this strategy must contain four elements; it must be about prevention, earlier diagnosis and appropriate self care, and we also have to have world-class research. Discussions with the Northern Ireland Assembly are ongoing.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Professional autonomy need not come at the expense of transparency in the provision of public services. Given that the Department for Education was able to extend the Freedom of Information Act to academy schools, does the Minister agree that it would be healthy for the Act to apply also to GP consortia in the NHS?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to my hon. Friend for that. The Health and Social Care Bill establishes the commissioning consortia as public statutory bodies and, as such, that Act will apply to them.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As part of his consultation exercise on NHS reform, the Secretary of State recently visited Liverpool, where he met nurses. When he was listening to the nurses at the Royal College of Nursing conference, what did he hear?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I heard many things, including the nurses’ concerns about front-line services, which I share; Dr Peter Carter has said time and again that he is very worried that the NHS might go through a process of trying to salami-slice services to the detriment of patients when it is actually possible to deliver greater efficiency through cutting out waste, administration and bureaucracy. I agree with many of the things I heard and I want to make sure, as a matter of urgency, that right across the country that efficiency is achieved and we do not act to the detriment of front-line services.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will the Secretary of State join me in congratulating GP practices in Gloucestershire, all of which have decided to participate in the single consortium taking forward the commissioning of health services? Will he reassure those of my constituents who still have concerns that this whole process is about protecting front-line services and that it is absolutely not about the back-door privatisation of the NHS?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes. My hon. Friend makes an extremely important point and his pathfinder consortium in Gloucestershire is focused on how it can deliver more integrated services. One of the things that we are looking for is the integration of services, which has not happened sufficiently in the past. In Gloucestershire, both in the commissioning consortium as it comes together and in the work done by the local authority, we can see how, on the ground, there is determination and enthusiasm to make the modernisation of the NHS work for patients. We must ensure that the legislation supports it.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

rose

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Order. I am sorry to disappoint colleagues but as is so often the case, demand has exceeded supply and we must now move on.

Escape of Taliban Prisoners

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

(Urgent Question): To ask what repercussions the escape of Taliban prisoners will have on United Kingdom soldiers.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to the hon. Member for Newport West (Paul Flynn) for raising the subject of this serious incident. It might help the House if I give some of the background to it.

At 4 o’clock in the morning on 25 April, 476 prisoners escaped from the national security unit in Sarposa prison, Kandahar. This prison is under the control of the central prisons directorate of the Afghan Ministry of Justice. A number of prisoners have been recaptured by Afghan security forces, and they continue to search for escaped prisoners. The Afghan Ministry of Justice will conduct a joint investigation into the escape with the national directorate of security. The head of the CPD, General Jamshid, is travelling to Kandahar and General Tahir, of the detention and investigation section of the NDS, is already there. In the meantime, all prisons in Afghanistan have been put on alert and have reviewed their security accordingly.

The UK has had no involvement with infrastructure builds, training, mentoring or any other support to Sarposa prison. We continue to support the development of the Afghan prison sector by assisting the Afghan Ministry of Justice’s central prisons directorate in developing prison infrastructure, policies and working practices; supporting and structurally maintaining the high security unit within Policharkhi prison in Kabul; providing training and mentoring to improve prison officer standards; and funding the construction of a prison in Lashkar Gah.

In answer to the hon. Gentleman’s specific question, this is a serious event that vividly underlines the importance of building a secure prisons sector in Afghanistan. We urge the Afghan Government to put every effort into recapturing those who have escaped in order to minimise the danger and damage to anyone—be they UK forces and personnel or anyone else—and to apply lessons learned from the planned investigation to ensure that this does not happen again.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The valiant professionalism of our soldiers in Afghanistan is as distinguished as that of any in our proud military history. They deserve our gratitude and they also deserve our vigilance to protect them against avoidable risks. This was not just a small incident—it was a disaster. Many of those who escaped were captured originally at grievous cost in blood and treasure. Now hundreds are liberated to attack our soldiers again.

The Government have been accused of being optimistic in their faith in the reliability and loyalty of the Afghan police and army. This is the second major escape from Kandahar. Three British soldiers were murdered by an Afghan soldier. This month, the Afghan police stood aside as United Nations peacekeepers were lynched. The Afghan security services have proved themselves, to a large extent, to be endemically corrupt, inept and probably, in this case, infiltrated by the Taliban. Their loyalty is often for sale. When will the Government realise that they cannot build an ethical reliable army and police force on rotten corrupt foundations? Will they now concentrate on a political solution in Afghanistan and abandon our misplaced trust in the Afghan army and police, which is now a deadly threat to the lives of our British soldiers? Optimism and trust become naivety when we do not know who to trust.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I understand, and go along with, a certain amount of what the hon. Gentleman has said. This is a significant event—a disaster, to use his term. It is a disaster in security terms; of course it is. Were those held in the prison detained at great cost? Yes, they must have been, to all who were involved. I understand that only three or five of them were originally UK detainees who were passed into the Afghan system, but that does not mean that others who were involved in capturing and holding them were not upholding the very standards that he was talking about, or that they have not been let down by the security situation. That is why there must be an investigation, and why we must find out what happened.

In answer to the hon. Gentleman’s other points, it is of huge importance to us all that there be a transfer of power and responsibility to allow Afghanis to be responsible for their security, because there is no other answer. Security cannot be held indefinitely by those outside Afghanistan. I am sure that he is well aware of the political process that is going on in parallel with the transition process and everything else. I do not think that those members of the Afghan national security force who, along with the international security assistance force, were involved so much in Helmand last year in clearing out the Taliban and working so hard to create a safe space for their fellow Afghanis would quite recognise his description of them. Of course, maximum effort must be given to the training of new security forces—both police and army. Loyalty must be an absolute basic and training must be rigorous, but it is not correct to dismiss them all because of individual incidents.

That this matter is serious there is no doubt. We must get to the bottom of it and there must be tightening regarding those responsible and the security system. The future for Afghanistan is, as the hon. Gentleman makes out, a political solution, but the military and tactical support we are providing to the Afghanis, who must ultimately be responsible for their own security and safety, must continue despite the setbacks.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Having been involved with several such prisons around the world, I know that reinforced floors and listening microphones were customarily fitted in them to prevent the digging of tunnels. Was such equipment fitted—and if not, why not?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Clearly, at this stage, not having the same experience as my hon. Friend, I am not able to go into detail about what equipment was available to protect security. The basic point is that if people have expended effort in detaining people to pass them into a secure system, the responsibility we owe to all those to whom those people might be a threat is to make sure that they are secure. It will be part of the investigation to look not only at what has been done to ensure security previously, but at what might be done in future to reinforce that and to make sure that in future, secure places are indeed secure.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I express our admiration and support for the work of our troops in countering the Taliban and inflicting heavy losses on them? Understandably, our troops will be concerned at the escape of some of those whom they risked their lives to capture. We fully recognise that these are early days in collecting information and framing a considered response. In that context, can the Minister give us an early assessment of the seniority, importance and capabilities of those who have escaped, especially as we approach the fighting season? We should be frank that this is a setback, but we also need to be clear about its significance.

Secondly, what assessment has been made about the—clearly failed—level of security at the prison, and what steps are being taken across Afghanistan to check on security arrangements at other prisons? Indeed, given the previous breakout, what had been done to make the prison more secure, and to vet the staff? Can the Minister give any assessment of those who have been recaptured—what level they are, and what level of co-operation has been given by the Afghan police and the local population in relation to their recapture?

Thirdly, has the Minister also asked for an assessment of recent intelligence gathering? Had any indication of an impending escape been picked up, and if so, was that information conveyed to the right level?

Fourthly, what discussions has the Minister had with our NATO allies, especially the US, about our immediate response and our assessment of the broader impact on progress in Afghanistan?

Finally, moving closer to home, has the Minister made, or will he be making, an assessment of the impact of the escape on the threat to our security in the United Kingdom?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful for the tone and the nature of the right hon. Gentleman’s questions, which mirror almost exactly the questions that we in the Department are asking. It is barely a day after the event, and the answers to his questions lie a little way in the future, but in fairness I must deal with them.

It is indeed crucial to find out who has escaped. Record keeping is not such that we can be supplied with a list immediately. It is a matter of huge concern to us to find out exactly who escaped, and their positions in the seniority of the Taliban. Estimates of who has been recaptured already vary. There are some estimates as low as 25 and others as high as 60, but we do not know. Again, it is just too early to find out, but we need to do that. The investigation into what happened will cover not only what has changed as a result of events but, as I indicated to my hon. Friend the Member for Newark (Patrick Mercer), what might be done in the future to make these places more secure.

The right hon. Member for Warley (Mr Spellar) made extremely good points about intelligence gathering. Again, we have not yet had the reports on what might have been picked up, but plainly it was not accurate enough to enable the escape to be prevented, or on threat levels to us, but those are at the top of our agenda.

What the incident demonstrates clearly is that in the process of working with Afghan authorities in the essential job that they do—taking responsibility for their own country, its security, its prison system and its justice system—it is vital for our engagement and the engagement of others to continue. Kandahar, the area concerned, is not the direct responsibility of the United Kingdom. Another nation is responsible for the provincial reconstruction team working with the authorities there, including the prison authorities.

Of course the incident is a huge setback, but it demonstrates why we continue to need to be engaged as much as any reason to say no, there should be no further engagement. I am sure that the right hon. Gentleman will join me, and the rest of the House, in saying that the work must continue and lessons must be learned every time there is an incident in order to prevent it from happening again, but ultimately Afghanistan must be responsible for its own security under a proper political process initiated by the Afghans themselves and supported by the international community.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

This event will come as a heavy blow to our armed forces just as the fighting season begins. The handover of operations to Afghan security forces is integral to our exit strategy, yet it seems that they are incapable of even guarding the Taliban, let alone taking them on in the field. Although it is early, what lessons can be learned from this in terms of our eventual exit strategy?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to my hon. Friend for understanding the essential nature of Afghanistan’s involvement in its own security. The lessons are blindingly obvious to all of us. Whatever security was in place there was inappropriate. The methods to detect what might be going on in terms of any potential escape were clearly inadequate, but we need to know a lot more before we can make definitive judgments and, more importantly, work out what needs to be done in the future. It is essential for the process to continue.

The Afghan security authorities and the Afghan Ministry of Justice are responsible for other installations elsewhere in Afghanistan that have not been subject to similar incidents. To draw from one incident the conclusion that none of them are working anywhere in the country would therefore not be appropriate or correct, which is why some provinces are moving towards transition, as was announced by the President just over a month ago.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I very much welcome the sober and serious remarks of the Minister today, which stand in sharp contrast to the claim of the Defence Secretary in the House last July, when he said:

“In Kandahar, and under the direct oversight of President Karzai, Afghan security forces are leading operations as part of a rising tide of security”.—[Official Report, 7 July 2010; Vol. 511, c. 373.]

May I ask the Minister to respond to two points? First, there should be an absolute ban on that kind of happy talk. Secondly, is it not time for the United Nations to appoint a mediator to take forward precisely the political settlement that he and I agree is so essential to our exit from Afghanistan and its development as some kind of secure and stable society?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On the right hon. Gentleman’s second point, I do not necessarily make the same link as he does between this incident and the political process. That is continuing. There are further conferences this year on the peace process, which was authorised and supported at the Kabul conference earlier this year. There are processes in place, which are being followed by the international community and led by President Karzai. The UN is closely involved, but I am not certain that a call for a mediator is either enhanced or diminished by the events of the past 36 hours. I recognise what the right hon. Gentleman says, but that process is continuing apace.

As for remarks about optimism or otherwise, it is entirely appropriate that, as they have done in the past, colleagues make statements honestly as they see the circumstances and as they see security situations improving, or not improving. I am here to talk about an incident that has clearly set back the process, but there are other things to talk about in relation to Afghanistan that clearly show the process moving in a different direction. I think that it is right that colleagues should be able both to report honestly the optimistic aspects of what is happening in Afghanistan and, as the right hon. Gentleman suggests, to assess things soberly if they go wrong.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Can the Minister at least confirm the early report that suggests that instead of prisoners tunnelling out, accomplices tunnelled in to reach them? What does it indicate about the internal security of a prison if people are able to tunnel in and it proves possible to go from cell to cell assembling hundreds of prisoners so that they can take advantage of that outside help?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to my hon. Friend for such a detailed question. However, I am sure that although he will be disappointed, he will not be surprised to learn that the Foreign and Commonwealth Office does not yet have sufficient detail to confirm the veracity or otherwise of that report. It is such reports that lead, understandably, to our great concern about this case, and the need to find out exactly what has happened—and, of course, how we can ensure that such circumstances do not arise in future.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Minister is right that this is a blow of whose significance we cannot at this stage be certain, but surely it points to the fact that we cannot rely on the security sector alone to provide a stable situation in Afghanistan within the time frame that the Government have set—by 2014-15. We must now, as the Foreign Affairs Committee has called for, redouble out efforts on the political front, in conjunction with our allies. Will he ensure that the Government do precisely that without delay?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The right hon. Gentleman is entirely correct. He will not hear any voices from the Government side of the House, or indeed from his colleagues, indicating that the events of the past 36 hours or so suggest any lessening in the determination to find a political answer. Ultimately, the future of Afghanistan will be in the hands of Afghanis themselves. They will be responsible for security, whether through policing, justice or the army, and the work of training goes on apace. I read with great interest the Foreign Affairs Committee’s report about its concerns and how it wishes to see people proceed in future. The political process is an absolutely key and integral part of that, and the United Kingdom will continue to support it, while at the same time supporting the work being done to ensure that the transition to Afghan security control is as good as possible, but that work will continue beyond 2015. The House should remember that although 2015 is the date when combat troops will be withdrawn, it is not the date when the United Kingdom will finish its commitment to the people of Afghanistan and their future.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Does my hon. Friend agree that the news of 476 dangerous Taliban fighters escaping from detention risks seriously damaging the morale of our troops serving in Afghanistan, and that it is therefore essential not only to improve the security at the detention centres immediately, but to tell our troops on the ground what measures are being taken to improve security, in order to shore up their morale and give them the confidence to know that that will not happen again?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My hon. Friend makes a very good point. Armed forces from whatever background, whether Afghanis, other elements of ISAF forces or UK forces, must be absolutely reassured that when they have done their job, at great cost to themselves, by securing the detention of those who have caused harm or danger to others, the system at that stage is able to pick those people up and make them secure. It is certainly my intention to ensure that once we have a full report and the Afghan authorities have completed their investigation, that information is transmitted to forces so that they know that if they do their jobs, other people will do theirs.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I wholeheartedly support the calls that have been made this afternoon for redoubling the political effort in Afghanistan, but is not one of the most depressing facts about this event that in many cases it will have been British special forces who captured those people in the first place, and it may well be British special forces that have to capture them all over again? I do not expect the Minister to comment on operational matters, but is it not depressing that at this stage we are cutting 650 troops from the Royal Marines—precisely where those special forces are largely drawn from?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I repeat something that I said earlier? Of the 476 detainees who escaped from the prison, as far as we are aware between three and five of them were captured and transferred into the system by United Kingdom forces: as the hon. Gentleman makes his distinction, I have to make that distinction back. A very small number of the total were involved with and detained by British security forces—but that does not avoid the main point, which is that of course there are 476 detainees who should be inside the prison today, not outside. The situation affects all the forces that have been engaged, and we do not draw a distinction as to who detained the prisoners.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Minister has made a very clear and good statement, but is the situation not proof again that events in Afghanistan are controlling us, rather than the other way around? I wonder whether, on the subject of Afghanistan, a lot more people in this House and in the country may be recognising the salience of Pitt the elder’s remark that we should retract while we can, rather than retract when we must.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The right hon. Gentleman—[Laughter.] Clearly, we understand the point that he makes.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

You could ask somebody about Pitt.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, I am very comfortable knowing a great deal more about Pitt than I did when I first took this role, having read some excellent books about him over the past few months. [Hon Members: “Wrong Pitt!”] All the Pitts.

In answer to the question, however, I must say no. This is an example—whatever the effort being made on military operations in Afghanistan and on the political process—of an immensely complex and difficult process in which there will be progress and setbacks, and it is no more fair to suggest that policy is run by all the setbacks than it is to say that progress can continue in an absolutely linear direction without any setbacks whatever.

It is perfectly proper to advance the process on the basis that the work that so many people are doing will increase and improve security month after month as time goes on. That is what everyone is working towards, but of course it is absolutely inevitable that there will be setbacks and difficulties. The responsibility of the Government, and my responsibility, to the House is to make sure that anything that can be done to prevent those setbacks is done, and that if things occur to which there was no opportunity to make any change or difference, lessons are learned from them in order to make improvements for the future.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I think the record will show that I have spent the best part of the past five years asking Ministers in successive Governments how many secure prison places they think exist in Afghanistan. So far I have not had a decent answer, but, given that the Minister said he thought that this was an isolated incident, can he give us an assessment of how many secure prison places he thinks currently exist in Afghanistan?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The short answer to the hon. Lady is that I do not know, and she must forgive me for that. I will endeavour to get a written answer—to the best of our knowledge—to her as quickly as possible, so that it is public. The picture is more flexible, depending on what one sees as detention, official prison places and the like, but if the hon. Lady has asked successively we must get the best answer that we can for her, and I undertake to do that as quickly as I can.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

That was a very sober statement to the House. The indications are that it took eight months to dig the tunnels and 450 prisoners on their hands and knees probably upwards of 12 hours to escape—but nobody saw anything. We in the United Kingdom have many governors and prison people with experience and knowledge, so will the Minister offer that knowledge to the Afghan authorities to ensure that they can improve on what has happened?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, indeed. I have already had that discussion with officials. The inquiry and investigation must be carried out by the Afghans as the sovereign power, but we do indeed have great expertise in all aspects relevant to the escape, and it is absolutely clear that it should be made available to the Afghan authorities. We will certainly be doing that.

Middle East and North Africa

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

With permission, Mr Speaker, I will update the House on recent developments in the middle east and north Africa.

Britain has continued to take a leading role in international efforts to protect civilians in Libya, and the case for action remains compelling: Gaddafi’s regime persists in attacking its own people, wilfully killing its own civilian population. Our strategy is to intensify the diplomatic, economic and military pressure on Gaddafi’s regime, and since the House last met we have made progress on all those fronts.

On the diplomatic front, I co-chaired the first meeting of the Libya contact group in Doha on 13 April. The 21 states and seven international organisations represented demonstrated clear unity, with participation from across the Arab world and the African Union in attendance. The group agreed that Gaddafi’s regime had lost all legitimacy, that the national transitional council should be offered further support, and that the UN special envoy should take forward an inclusive political process. I will attend the next contact group meeting in Rome on 5 May.

At the NATO Foreign Ministers meeting in Berlin on 14 and 15 April, I joined colleagues in showing our determination to increase the pace of military operations to enforce UN Security Council resolution 1973. The 28 NATO member states and six Arab countries that attended, 16 of which out of the 34 are engaged in military action, agreed a common strategy. That is an important milestone in world affairs, a sign of a growing ability to work across traditional regional divisions and a demonstration of the breadth and unity in the international coalition in support of the Libyan people.

On the economic front, since my statement on 4 April further Libyan entities have been sanctioned, and the regime is now subject to some of the most comprehensive economic sanctions ever agreed by the United Nations.

On military matters, since NATO assumed full control over all military operations on 31 March, more than 3,500 sorties and 1,500 strike sorties have been conducted. This action has seriously degraded Gaddafi’s military assets and prevented widespread massacres planned by Gaddafi’s forces. Gaddafi’s forces remain unable to enter Benghazi, and it is highly likely that without these efforts Misrata would have fallen, with terrible consequences for that city’s brave inhabitants. Yesterday, Italy announced that its aircraft would take part in ground strikes, and the United States Government have contributed Predator unmanned aerial vehicles to the coalition forces. My right hon. Friend the Defence Secretary is in Washington today to discuss the military situation.

Heavy fighting continues around the towns of Brega, Ajdabiya, Yefren and Misrata. The regime’s indiscriminate shelling of residential areas in Misrata shows that it continues to target the civilian population. Gaddafi has shown that he has no regard for civilian lives. The International Criminal Court prosecutor has said that there is evidence of a case against Gaddafi for crimes against humanity. We look forward to the prosecutor’s report to the UN on 4 May. By his actions, it is clear that Gaddafi has no intention of observing the conditions in Security Council resolution 1973 that I described to the House earlier this month. He has repeatedly ignored the ceasefires that he himself has announced. Our military action is defined by the UN Security Council resolutions. We are also clear that Gaddafi should go, and it is impossible to see a viable or peaceful way forward for Libya until he does so.

The Libya contact group’s statement made it clear that, in contrast to Gaddafi, we and our allies regard the national transitional council as a legitimate interlocutor representing the aspirations of the Libyan people. Our diplomatic mission in Benghazi is working with it. Our special envoy, Christopher Prentice, will shortly be succeeded by John Jenkins, currently Her Majesty’s ambassador in Baghdad.

Last week, I announced our decision to expand this mission with a small advisory team of British military officers. Their sole purpose is to support the NTC’s efforts better to protect civilians by advising on military organisational structures, communications and logistics. They are not involved in training or arming the opposition’s forces, nor are they executing or providing operational military advice. This is fully in line with the UN resolutions, and I reiterate to the House that we will remain wholly in accordance with the UN resolutions, retaining the moral, legal and international authority that flows from that. We have supplied vital, non-lethal equipment to assist the NTC in protecting civilian lives. So far, this consists of telecommunications equipment and body armour. We are considering with our international partners further requests.

In the coming week, we hope to agree internationally the process for establishing a temporary financial mechanism to provide a transparent structure for international financial support for the financial requirements of the NTC, such as public sector pay. Yesterday, Kuwait announced about £110 million of support for the NTC.

I am sure that the House will join me in paying tribute to the skill, bravery and professionalism of the men and women of the UK and our allies’ armed forces. Their actions in the NATO operations have saved many lives and their efforts are essential to bringing a lasting peace and a better future for the Libyan people, who have suffered so much at the hands of this brutal regime. I also pay tribute to those from the international humanitarian community who have put their lives on the line to help their fellow human beings.

The UK is supporting the other needs of the Libyan people in every way we can. The humanitarian situation in the west of the country is getting worse every day. Many civilians in Misrata lack access to basic necessities, including food, water and electricity. There is a shortage of some crucial medical supplies. That is why my right hon. Friend the Secretary of State for International Development announced last week that the UK will provide medical and other emergency supplies, and undertake the evacuation of 5,000 migrants stranded at Misrata port in squalid conditions. The UK has so far given more than £13 million to meet immediate humanitarian needs through funding for medical and food supplies and emergency shelter, and assisting in the evacuation of poor and vulnerable migrants. In Misrata alone, British support has given 10,000 people food and 2,000 families water and hygiene kits, and it has provided essential medical staff. The regime must guarantee unfettered humanitarian access and not just give broken promises, which put the lives of aid workers and volunteers at risk.

The wave of demand for change in the Arab world continues to gain momentum in other nations. As I said earlier today, we condemn utterly the violence and killings perpetrated by the Syrian security forces against civilians who are expressing their views in peaceful protests. That violent repression must stop. President Assad must order his authorities to show restraint and to respond to the legitimate demands of his people with immediate and genuine reform, not brutal repression. The emergency law should be lifted in practice and the legitimate aspirations of the people met.

The United Kingdom is working intensively with our international partners to persuade the Syrian authorities to stop the violence and to respect the basic and universal human rights to freedom of expression and assembly. Syria is at a fork in the road. Its Government can still choose to bring about the radical reform which alone can provide peace and stability for Syria in the long term, and we urge them to do so, or they can choose ever more violent repression, which can only bring short-term security for the authorities. If they do so, we will work with our European partners and others to take measures, including sanctions, that will have an impact on the regime. Given our concerns for British nationals in Syria, we changed our travel advice on Sunday to advise against all travel there and to advise that British nationals should leave unless there is a pressing need for them to remain.

On Yemen, the UK welcomes this morning’s news that the efforts of the Gulf Co-operation Council countries to resolve the political deadlock are close to success. I understand that President Saleh and the parliamentary opposition have accepted the GCC’s proposal. That is potentially good news. Both sides now need to come together to confirm their commitment to the peaceful, inclusive and timely transition process that the GCC has brokered. The UK remains committed to its long-standing support for Yemen in these difficult times.

Although the immediate situation in Bahrain is calmer, there continue to be credible reports of human rights abuses. I urge the Government of Bahrain to meet all their human rights obligations and to uphold political freedoms, equal access to justice and the rule of law. Dialogue is the way to fulfil the aspirations of all Bahrainis. I urge all sides, including opposition groupings, to engage with each other.

In Egypt, which I will visit shortly, we welcome the actions being taken by the authorities to move towards a broad-based, civilian-led Government and an open and democratic society.

In Tunisia, we are providing support with EU partners to help its Government meet the wishes of the Tunisian people. On 11 April, the commission responsible for bringing together opposition parties and civil society approved the draft law for the constituent assembly elections scheduled for 24 July. That is a step towards free and fair elections, and an open and democratic society.

The European Union has a crucial role to play in the southern Mediterranean. The great changes in the Arab world are truly historic, and the response from the nations of the EU should be bold and ambitious. The review of the European neighbourhood policy is due to be published in a fortnight. We have been making the case that we have the opportunity to use that policy to help the peoples of the southern Mediterranean achieve their desire for freer and more prosperous societies. A renewed neighbourhood policy should see the EU using its economic magnetism to encourage and support political and economic reform in neighbouring countries. A partnership of equals should reward those who make the necessary political and economic reforms and, importantly, withdraw benefits from those who do not.

Finally, it remains essential that progress is made in the search for a just and lasting solution to the Israeli-Palestinian conflict. That is what the majority of ordinary Palestinians and Israelis demand of their leaders. The extraordinary changes in the region are an opportunity to be seized, not an excuse for further prevarication leading to more frustration and discontent.

In our response to the dramatic events in north Africa and the middle east, we will continue to stand for reform, not repression, and for the addressing of grievances rather than brutal reprisals. It is a policy in accordance with our own beliefs, in line with our own national interest and in pursuit of the peace and prosperity of the wider world.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thank the Foreign Secretary for advance sight of his statement this afternoon.

I join the Foreign Secretary by saying that the Opposition, too, support the Gulf Co-operation Council initiative to resolve the current crisis in Yemen and achieve a peaceful political settlement. I also associate myself with his remarks regarding the continued need for a focus on the Israeli-Palestinian conflict and the need for a review of the European neighbourhood policy.

I begin with Syria. Every Member will have been appalled by the recent reports of Government violence and repression there. First, on the question of UK nationals, can the Foreign Secretary provide an estimate of the number who are in Syria at present, and can he assure us that all contingency plans are in place should it prove necessary, in time, for them to leave?

Of course, I fully support the Foreign Secretary’s condemnation this afternoon of the actions of the Syrian Government, but it was only a few weeks ago, on 27 January, that he travelled to Damascus to meet President Assad. From those conversations, how likely does he judge it that President Assad will now heed the calls for restraint and reform?

I welcome the Foreign Secretary’s statement that work is under way at the United Nations. Can he provide more detail on what progress has been made regarding a statement and/or a resolution from the Security Council? In particular, will he outline what financial sanctions and freezes at UN or EU level are being discussed to make clear the international community’s condemnation?

In a statement this morning, the Foreign Secretary said:

“There needs to be accountability for the deaths that have occurred.”

Of course, I concur with that statement. What discussions have been entered into regarding the investigation of accusations of crimes against humanity and regarding Human Rights Watch’s call for an official commission of inquiry? Finally, what discussions has he held with the Turkish Government, among others, to marshal a unified condemnation of the recent actions and assess possible ways forward in the region?

Although news regarding Bahrain has subsided slightly, the reports of the arrests of opposition figures and deaths in custody, and allegations of torture and the denial of medical treatment, are of course extremely concerning. Will the Foreign Secretary update the House on the progress of the political reform process initiated by King al-Khalifa? Will he also tell us what recent discussions he has had with the Crown Prince, who, it has been reported, has been close to reaching agreements with the protestors? Britain’s historically close ties to Bahrain should give us all the more reason to be clear and unequivocal in our urging of reform, not repression, as a response to popular protests on those islands.

I join the Foreign Secretary in commending our men and women in the armed forces, and those of our allies, for their brave service in Libya while the House has been in recess. The specific operational steps announced by the Government during that time—providing telecommunications, body armour and 10 military advisers—each had an operational rationale reflecting the new realities on the ground. Although we understand that rationale, will the Foreign Secretary now update the summary of legal advice provided to the House to cover each of the announcements made during the recess? The ad hoc and apparently unco-ordinated manner in which they were announced, rooted in no clearly articulated plan, has, I fear, served only to increase anxieties held by many members of the public.

In truth, none of those specific measures is likely significantly to affect the strategic situation in Libya. As things stand, neither Benghazi nor Tripoli appears likely imminently to fall to either side. Can the Foreign Secretary therefore give the House a somewhat fuller assessment of the military situation than he has so far shared with us? I ask that because the Prime Minister’s official spokesman stated this morning, in summarising the Foreign Secretary’s report to the Cabinet, that we need to

“prepare for the long haul”,

yet a press release was published only this weekend on the Foreign Office website entitled, “Foreign Secretary denies claims of stalemate in Libya”. The situation on the ground led the US chairman of the joint chiefs of staff, Admiral Mike Mullen, to observe on Friday that

“Libya is moving towards stalemate”.

Can the Foreign Secretary share with the House the information or insight on military progress that was available to him that was apparently not shared with America’s most senior military figure?

That brings me to the question of political objectives and the military mission. On 21 March, the Prime Minister told the House from the Dispatch Box that resolution 1973

“explicitly does not provide legal authority for action to bring about Gaddafi’s removal from power by military means.”—[Official Report, 21 March 2011; Vol. 525, c. 713.]

On 14 April, in an article in The Times, the Prime Minister and the Presidents of the US and France said that

“so long as Gaddafi is in power, Nato and its coalition partners must maintain their operations so that civilians remain protected and the pressure on the regime builds.”

Would the House be correct to understand that the language in that article means that in the view of the British Government, UN Security Council resolution 1973 cannot be enforced without Gaddafi’s departure? Given the article’s explicit commitment to maintaining NATO operations “so long as Gaddafi” remains “in power”, will the Foreign Secretary clarify whether a Libya free of Gaddafi is a political aim—incidentally, that aim is shared by all in the House—or a military objective of the British Government? Will the Foreign Secretary further say whether, following that joint statement, American fighter aircraft have once again engaged in ground-assault operations, and whether that statement of aims has led to any significant alteration of the US force posture?

Does the Foreign Secretary agree that there is no plan, no mandate and no appetite for NATO ground troops attempting to fight their way into Tripoli to remove Gaddafi? If so, can he offer a clearer way forward, beyond the intensification of the current efforts that he spoke about in his opening remarks, to achieving the outcome that the Government seek? It is vital that he does so, not simply to ensure that the Government address the concerns at home and abroad, but, crucially, to convince Gaddafi’s henchmen that there is a credible strategy in place to ensure that his brutal attacks on civilians will not prevail.

We seek as broad a coalition as possible for these efforts, and in that spirit I add my welcome to the addition of Italian fighter aircraft to the mission, which we heard announced today. Will the Foreign Secretary update the House on the precise number of EU, NATO and Arab League countries that are participating in the military operation, and on what efforts are being made to expand those numbers further? Does he believe that the contact group is proving agile and effective enough to direct the mission? Does he further agree that the comparison last week by the Defence Secretary of the current mission in Libya with the Afghanistan campaign, where a decade on we have about 11,000 troops in theatre, not only ignores the different order of magnitude of threat posed by al-Qaeda and its supporters, but needlessly threatens support for the mission at home and abroad? In the light of that comparison, and given the continuing national security threat being confronted in Afghanistan, will the Foreign Secretary assure the House that no personnel or equipment will be redeployed from Afghanistan to Libya?

The Government are acting in Libya for principled reasons, but that does not remove our obligation to look at practical questions. In conclusion, in the light of this morning’s statement, which mentioned a “long haul” in Afghanistan, what further diplomatic measures are being pressed by the Government on the international community to strengthen the isolation of, and to increase the pressure on, Gaddafi’s regime?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to the right hon. Gentleman particularly for what he said about various countries at the beginning of his questions. I am sure that the whole House will join him in welcoming the seemingly successful efforts of the Gulf Co-operation Council in relation to Yemen. There is also agreement across the House, I think, about the importance of the middle east peace process and a bold and ambitious European neighbourhood policy.

The right hon. Gentleman asked some specific questions about Syria. About 700 British nationals in Syria are now registered with us, although some of them of course will be dual nationals with their families in Syria, and we should not assume that they would want to leave Syria whatever the circumstances there. However, we have contingency plans for their evacuation. Previous to the change of travel advice on Sunday, we advised them to consider leaving Syria by commercial means, and it is still possible to do so—for instance, over the land border to Lebanon and by commercial flights still running every day out of Damascus.

The right hon. Gentleman asked about the conversations that I had with President Assad at the end of January. From those conversations, I think I can fairly say that what has happened in Syria over the past couple of weeks will have come as a surprise to the President and the Government. I asked him then why he thought that Syria would be different from what had already begun to happen in Egypt and Tunisia, and he said that it was because of Syria’s clear ideology, the continuing resistance to Israel and the popular support for the Government in Syria. Clearly, however, there are common aspirations in many of these countries for economic freedom and greater political rights, and therefore the position of the Syrian authorities in relation to their population was not as strong as he and his Government assessed. Of course, we have many differences with the Government of Syria on many foreign policy subjects that I discussed with him. For a long time Governments of the United Kingdom have urged the Government of Syria in the direction of greater respect for human rights. Had they taken that advice, including from previous Foreign Secretaries, such as the right hon. Member for Blackburn (Mr Straw), they would be in a stronger position today.

The right hon. Member for Paisley and Renfrewshire South (Mr Alexander) was right to ask about work with the Turkish Government. I regard them as holding a central position in working with other nations on how we should proceed on Syria. I discussed the matter at length last night with the Turkish Foreign Minister, Ahmet Davutoglu, and we are in close and daily touch with the Turkish Government. The work on what may happen at the UN and in the EU is of course at a preliminary stage, and it will be difficult at the UN Security Council, because not all the permanent members will see this in the same light, so I do not want to raise expectations of action at the Council. That would be unrealistic. However, we are working closely with our European and American colleagues on the Council to see how we can proceed, and we are doing initial work on what action the EU could take. However, I cannot go into more detail about that at this stage.

On Bahrain, the dialogue between the Government and the opposition is not overtly progressing. However, the authorities there have reiterated to us their determination to proceed with and reignite that dialogue. I spoke recently to the Foreign Minister of Bahrain, Sheikh Khalid al-Khalifa, to ask for his commitment to that, as well as to investigation of the human rights issues that I have mentioned in the House, and he has given those commitments. As I said in my statement, therefore, we look to all sides in Bahrain to commit themselves to that dialogue. That is the only way forward for a country in Bahrain’s situation. However, I do not have any reports of success in that dialogue to give to the House now.

The right hon. Gentleman asked about Libya and our various announcements over the recess of non-lethal assistance to the transitional national council. It was my decision in every case to make public the information as soon as possible about every form of assistance. It might have satisfied his desire to avoid what he called ad hoc announcements had we waited to put them all together, but in my view it would not have satisfied the interests of full transparency and of giving Parliament the necessary information as soon as it became available by depositing it in the Library. This is a fast-moving situation. How we help the transitional national council has to be agreed with other countries in order that we do not duplicate what they do, so how we are able to assist the council will change from week to week. However, we will keep the House informed as rapidly as possible, as we did over the recess, even if that means that announcements come out at different times and are followed one after the other.

It is important to remember that the military situation remains fluid and has not settled into a stalemate. Hon. Members will be aware of how much the situation in Misrata has changed over recent days. Fighting has gone backwards and forwards on the western borders of Libya, and although there is a fairly static situation on what might be called the eastern front, between Brega and Ajdabiya, it has not yet settled into what one would call a long-term stalemate. The military mission is defined by the United Nations resolution, and what the Prime Minister said about that on 21 March absolutely stands. That has not changed, although it is the common assessment of all NATO and Arab League nations involved—there might be a difference of view in some African Union nations—that it is impossible to see a way of securing the full implementation of the UN Security Council resolution while Colonel Gaddafi remains. That is why it is quite right to reiterate, as we all do in this House, that Gaddafi should go. However, the military mission remains defined by the UN Security Council resolution, and there has been no change in the Government’s approach to that.

On the question of NATO participation, there are 16 nations participating in the military effort at the moment. The shadow Foreign Secretary asked whether the contact group of 21 nations and seven international organisations was unwieldy. My experience so far is that it is not unwieldy—provided that it is well chaired, which it has been—but works together well. Having such a wide spread of nations and international organisations might initially look unwieldy, but it allows the contact group to continue the international legitimacy and the broad-based coalition that are present on this occasion and in these operations, the lack of which has sometimes bedevilled our efforts and those of the previous Government in foreign affairs, so it is important to maintain that.

The right hon. Gentleman asked about the Defence Secretary’s remarks about Afghanistan. The Defence Secretary was simply saying that we wanted Afghans to be able to take on responsibility for their own security; he was not comparing the conflict in Libya to the conflict in Afghanistan, and we should not give that impression. I absolutely agree with the shadow Foreign Secretary that NATO ground troops will not be going into Tripoli to resolve this matter. It is clear in UN resolution 1973 that there should be no foreign occupation of any part of Libya. We will adhere strictly to that, as to all other parts of the resolution. The strategy going forward is what I set out in the statement—to intensify the diplomatic, economic and military pressure.

The point that I made at the Cabinet this morning was that in this situation, time is not on the side of Gaddafi. We are often asked in international conflicts whether time is on our side. We should be confident that in this situation—given this coalition, this range of sanctions and these intensifying efforts—time is not on the side of Gaddafi, and the members of his regime need to know that. The resolve of the international community to implement the UN resolutions—and our resolve, separately from those resolutions, that he should go—is undiminished; indeed, it is strengthened by the experience of recent weeks. We have already achieved the saving of thousands of lives, the assembly of a remarkable international coalition and the prevention of the regime’s re-conquest of Libya by force, which could also have destabilised Egypt and Tunisia. These things have been worth achieving in the last five weeks, and if we continue to intensify our work in the way that I have described, we will indeed go on to success.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

rose

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Order. The Front-Bench exchanges, although enlightening and engaging in equal measure, have nevertheless consumed almost half an hour. I am very keen that there should be time for Back Benchers to contribute. Short questions and short answers are required.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I suggest to my right hon. Friend that it may be over-optimistic to assume that the civil war in Libya will cease when Colonel Gaddafi departs the scene? As he knows, the estrangement of Tripolitania and Cyrenaica dates back to the Punic wars, which is why in 1946 Ernest Bevin wanted to restore Mussolini’s single Libya to its two historic entities. Moreover—if you will bear with me for a moment longer, Mr Speaker—we could impose an immediate partition on the country by air power alone. That would enable us to remove by sea those rebels on the coastal strip who found themselves on the wrong side of the dividing line, before they were massacred by the inland tribes.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It is always a pleasure to listen to the hon. Gentleman. When I have heard him, I invariably feel better informed, and somewhat improved.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Well, so do I. I absolutely take my hon. Friend’s point about the Punic wars and the historical division between Tripolitania and Cyrenaica, but I have to say that I do not think that that is the solution in this particular case, in the 21st century. All the people we have spoken to in the transitional national council are very much committed to the territorial integrity of Libya as a whole. The country could not be so easily partitioned as my hon. Friend might think, in that there is strong support for the opposition forces throughout Libya, including in the west, in cities in the western mountains and in Misrata. The people of Misrata do not want to be taken away to the east; they want to stay in their own city, with their rights being respected and their lives being preserved. There is no simple east-west division in Libya now, in contrast to what has happened in previous centuries or, indeed, in previous millennia.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Fear is growing that, although we are doing enough to keep this operation going, we are not doing enough to bring it to a successful conclusion. If stalemate or de facto partition are unacceptable, and if the people cannot be properly protected while Gaddafi is in place, surely we need to make enough effort, now that we are engaged in this operation, to bring it swiftly to a conclusion, and to bring to an end the suffering in Libya. Surely that means doing more than is currently being done.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I understand the right hon. Gentleman’s concern. Other Ministers and I went to the NATO meeting in Berlin to ask for an increased tempo in the military operations, as well as increased support from other countries for military operations, some of which we have secured. He will have heard us talking about Italy earlier. However, when he says that the situation needs to be brought to a conclusion more rapidly, he is really calling for a military effort that is very different in its scale and in its nature. I would say to him that that would not be in accordance with UN resolution 1973. The large-scale use of ground troops, for instance, would not be in accordance with the resolution. Whatever we do, it is vital to keep the legal, moral and international authority that comes from working within the United Nations resolutions. I must therefore resist his demands for a more rapid or overwhelming military solution to the situation. We have to continue to intensify the pressure on Gaddafi through diplomatic, economic and military channels, but we must stay within what is legal and internationally supported.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Does the Foreign Secretary accept that the Government’s twin fundamental aims of protecting civilians and requiring the departure of Gaddafi cannot be achieved by coalition air power alone—or, indeed, by diplomatic and economic pressure—and that the achievement of those aims will require giving military support to the insurgents? I welcome the fact that instructors have been sent to Benghazi, but does the Foreign Secretary not agree that much more military support could be given that would be consistent with the UN resolution, which allows all necessary measures for the protection of civilians throughout Libya?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The first point to make to my right hon. and learned Friend is that these are not instructors. I would not refer to them as instructors. It is a military liaison team; it is working on headquarters organisation. I stress that these officers are not involved in arming or training the forces of the opposition side in Libya. Our position—my right hon. and learned Friend has brought it up before—is that we will help with non-lethal equipment. The British Government have taken no decision to arm or equip the opposition forces with lethal equipment. I have expressed our view of the legality of that before, which is that the arms embargo applies to the whole of Libya, but that it is legal under the UN resolution to supply equipment to protect civilian life in certain circumstances. Other nations may wish to do that or to interpret the resolution in a different way. We interpret it in that way and believe that the best way for us to help is to supply the non-lethal equipment that I have mentioned.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I congratulate the Foreign Secretary on delivering an absolutely brilliant piece of Foreign Office speak for the last 10 minutes? He assured us that there was to be no ground intervention, yet military forces are being sent to assist the British diplomatic mission. He assured us that there was no intention of regime change, and then promptly called for a regime change. What exactly is the Government’s position on Libya? Is it to have a partition; is it the overthrow of Gaddafi; is it to hand over the oil and banking interests to Qatar; is it the sale of arms to the whole region? What on earth are the Government’s long-term intentions on Libya? Will he please explain?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I accept the hon. Gentleman’s congratulations in the spirit in which they were offered, and I am tempted to go over my whole statement again. Our attitude to the whole issue of change in the middle east is that if it goes right, it will be one of the greatest advances in human freedom and world affairs that we have seen—certainly since the end of the cold war, and in some ways comparable to it. If it goes wrong, however, leading to more authoritarian regimes or a long period of violent disorder, it will provide a serious threat to our own national security and that of the whole of Europe, with new breeding grounds for terrorism, uncontrolled migration and threats of extremism. We therefore have to do what we can to make sure that change goes in the right direction, not the wrong direction. That is what we want for Libya and what we want for other countries. We are able to help in each country in different ways, but that is the context in which our Libya policy sits.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Notwithstanding my right hon. Friend’s careful and circumspect response to the shadow Foreign Secretary, is it not clear that the United Kingdom and France are disproportionately bearing the burden of the offensive air campaign? Why is it that our NATO allies are not making a better contribution, and is the Foreign Secretary disappointed by their failure to do so?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It is certainly true that the United Kingdom and France make a huge contribution and, most of the time, the largest contribution to the campaign. I hesitate to use words like “disproportionate”, as I must say that the contribution—including an offensive strike capability—from countries such as Denmark and Norway is, considering their size as countries and the size of their armed forces, very much proportionate to the efforts that we are making. We should not think that only the United Kingdom and France are contributing. There are 16 nations involved in the military activity. As my right hon. and learned Friend knows, Arab nations are also involved. In response to our recent requests, other countries have brought other military assets into play—Spain, for example, providing additional air-to-air refuelling capability and Italy bringing in ground-strike capability. At all times, the United States continues to supply about a quarter of all sorties flown, even in periods when it is not taking part in ground strike. The right hon. and learned Gentleman can see that the burden is spread more widely than the headlines sometimes give the impression, but would we like a greater contribution from some other nations and did we say so at the NATO meeting in Berlin? Well, yes, we did.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Foreign Secretary has quite rightly referred to the legal, moral and international base that resolution 1973 mandates, and it is imperative that we stick within it. In that context, can he restrain those voices calling to go beyond that—as, for example, the call to target Colonel Gaddafi and others—and make them desist, because that sort of thing will not keep the coalition together?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am trying to restrain them, as I restrained the right hon. Member for Coventry North East (Mr Ainsworth) a moment ago in relation to a parallel subject. As for the question of specific targets, we will not go into it. Who or what become legitimate targets depends on how they behave. I will not expand, and no Minister will expand, on who or what will be a target.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given that the Libyan regime can place its forces in heavily congested urban areas and fight house to house, and given the terms of the resolution, is it not the case that the NATO forces are in no position to exert any influence over the outcome of this civil war?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

No. Although NATO air forces are constrained by having to operate entirely from the air—obviously there can be problems with air operations on days when the weather is bad—they have clearly had a huge and, so far, decisive impact. Had it not been for those NATO-led air operations, Benghazi would have fallen and Gaddafi would have reconquered the entire country; I think that Misrata would have fallen.

As my right hon. Friend says, it is very difficult when forces are making themselves look like civilians and fighting at close quarters in a city like Misrata. Nevertheless, there is a good deal of evidence that in recent days they have been pushed back. The use of a Predator unmanned aerial vehicle over Misrata is something that the regime forces have to worry about and, I think, have worried about greatly over the past 48 hours, however clever they may think they are at concealing themselves.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I compliment the Foreign Secretary on his attitude to this difficult matter? May I also urge him to continue to resist the calls that have come from certain important Members of Parliament, notably a former Foreign Secretary and a former Defence Secretary, my fellow Coventrian the right hon. Member for Coventry North East (Mr Ainsworth)?

Difficult though the matter is, I welcome the Foreign Secretary’s reassurance that—as we all now accept—ground troops have no role to play, and his continued resistance to a deeper, heavier NATO involvement than that described by him and allowed by the United Nations resolution. I believe that this is the only way forward, and that, if pursued with sufficient patience and perseverance, it can achieve our objectives.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to the hon. Gentleman. We do operate under certain constraints. The United Nations resolutions are clear and comprehensive—they authorise “all necessary measures”—but they are not qualified in certain important ways, and we are clear about what those mean. It is more important to stick to the resolutions, and to achieve success within their constraints, than to expect a lack of support among the nations of the coalition for our action in continuing these operations as necessary, along with our other diplomatic and economic efforts. I think that we must indeed have the persistence and the patience to continue with that strategy.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Foreign Secretary is working with our international partners to persuade the Syrian authorities to stop the violence, which he rightly condemns. Does he recall that the intervention in Libya came only after a request for intervention from the Arab League? Is there any sign of a further request from the Arab League for intervention in Syria?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

No. The work with international partners is very important—particularly the work with Turkey, as I mentioned in response to the shadow Foreign Secretary—but my hon. Friend is right: in the case of Libya there was a clear call from the Arab League for the United Nations to take action. That was a transformative intervention, in that it gave legitimacy and broad international support to our work at the United Nations Security Council. We should hesitate to draw direct comparisons between what we may do in Libya and what we may do in other countries in the region.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The reported use of cluster bombs against civilians by the Gaddafi regime has been rightly condemned. Equally worthy of condemnation would be the use of depleted uranium. Has the Foreign Secretary sought any assurances from his United States counterparts that depleted uranium weapons have not been, and will not be, used in this conflict?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The right hon. Lady is absolutely right about cluster munitions—and we might add land mines as well; there are reports of the Gaddafi forces laying them in the vicinity of Misrata. I am certainly not aware of any use of depleted uranium weapons. I would be very surprised if any such weapons were being used, and I think I can give her the assurance she seeks.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It has been reported that NATO intelligence believes that some 450 of Gaddafi’s mercenary army are in fact Algerian-backed Polisario guerrillas paid for to the tune of some millions of dollars. Has the Foreign Secretary taken this matter up with the Algerian Government, and can he tell the House what we have done, beyond the freezing of British, European and American bank accounts, to deny access to the money that enables this sort of action to take place?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, there are many such reports. My right hon. Friend mentions reports concerning Algeria, and there are also reports of fighters for the Gaddafi regime coming from other countries in north Africa. We are taking these reports up; we have taken them up at the diplomatic level with some of the countries concerned. We need more specific evidence than usual in these situations, in order to be able to say squarely to the countries involved that they are in breach of UN Security Council resolutions, but whenever we have that evidence we will act on it, and at the ministerial level as well.

On the question of denying Gaddafi the ability to pay for such fighters, we have done two sets of things. One of them is the asset freeze, to which my right hon. Friend referred. Tens of billions of dollars of the regime’s assets have been frozen, particularly in the United States and our country, although that measure is also widely observed across the world. Secondly, the sanctions that we are implementing also deny a great deal of income to the regime. That is why I say that there is no future for this regime. Time is not on the side of Gaddafi. It will be very difficult for the regime to amass the resources required for it to be able to continue with this effort for the longer term. We will seek the rigorous implementation of those measures, and, of course, if any nation appears to have sanctioned the employment of people from its own country as mercenaries in Libya, we will pursue that matter with it.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

This morning, the BBC was reporting that four European Union countries were working up a new resolution for the Security Council. The Foreign Secretary did not refer to that in his statement. Is that because of the reluctance on this issue of the Arab League, to which he previously alluded? Is there not also a danger, however, that many people in the Arab world will perceive double standards if the UN Security Council does not at least adopt a strong resolution condemning the Ba’athist repression in Syria?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I think the report in question was about the possibility of a presidential statement, rather than a resolution of the UN Security Council. Certainly, France, Germany, Portugal and the United Kingdom are working together at the Security Council to raise the issue of the situation in Syria. The hon. Gentleman asks about double standards. Different countries will have their own opinions on this subject, and I sounded a note of caution about the attitude of some of the other permanent members of the Security Council. Particularly on Syria, they will be very cautious about adopting statements, and especially about adopting resolutions. The position of the Arab League is a matter for its members. It is, of course, up to them to decide whether to be consistent in their statements or to regard the situation in different countries as requiring different responses. We have certainly had no call or clear message from the Arab League on the situation in Syria in the way that developed in respect of Libya.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

If, as my right hon. Friend suggests, there is such general international agreement that Gaddafi should go, is any work being done in the United Nations to change the resolutions to reflect that, because otherwise we will continue with a military objective that is at odds with the political objective?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I have had no indication that it would be possible to pass a new and—what one might call—stronger resolution in the UN Security Council than the ones that have already been passed: resolutions 1970 and 1973. I think there would be a good deal of opposition to that. I think it is unlikely at this juncture that such a resolution could be adopted in the UN Security Council, which is why, as I have said in answer to earlier questions, we must work within the resolutions we have and maximise the diplomatic, economic and military pressure, consistent with those resolutions.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I welcome what the Foreign Secretary has said about developments in Yemen, and commend his efforts and those of the GCC? If the President signs the agreement tomorrow, there could be a new Government in 28 days. Are our Government ready to assist that new Government? What matters then is the stability of Yemen.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, we absolutely are ready to do that. At that point we will, of course, want to revive, with some vigour, the Friends of Yemen process, which was started under the previous Government—we have continued it, but the group has not been able to have meaningful meetings in recent weeks, given the situation. We will very much look to revive that, working closely with Saudi Arabia as co-chairs of the Friends of Yemen. There is a great deal we can do to encourage stability and peace in Yemen, and we will be highly active in doing so.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I ask the Foreign Secretary about Saudi Arabia, as there have also been reports of protests—albeit on a smaller scale—met with repression there and as its contribution to finding a peaceful solution to the unrest in Bahrain was to send in its troops? Does he think that the Arab spring could have a positive influence on human rights improvements in that oppressive regime? How can it be encouraged to take a positive attitude to the dialogue towards democracy that is so needed in Bahrain?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given the previous question, it is important to recognise in this context the strong and, it seems, successful efforts of Saudi Arabia to bring mediation to Yemen. The hon. Lady is right to say that Saudi forces are in Bahrain—at the request of the Bahraini Government—but I think that Saudi Arabia, like other states in the region, is very anxious that there is a successful national dialogue in Bahrain. I have no reason to doubt that at all, having discussed the situation at some length with Prince Saud, the Saudi Foreign Minister, over recent weeks. Of course, we do ask all Governments in the region to respect the right to peaceful protest and freedom of expression.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

No one disputes the brutality of the Gaddafi regime, which of course we were selling arms to, along with other western powers, right up to recent events, but may I urge the Foreign Secretary to resist the calls that we have heard today from what I would describe as the “war party”, which wants to escalate the conflict? Some of us believe that what is really required is a genuine effort to bring about a ceasefire. I am aware of all the difficulties—I know that Gaddafi cannot be trusted—but if there is a chance of stopping the bloodshed on both sides in the civil war, that opportunity should certainly be grasped.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Of course we all want a ceasefire. One of the stated goals of resolution 1973 is a ceasefire—a genuine end to violence—but it would have to be a genuine ceasefire in which the regime’s forces pulled back from the populated areas they were attacking and really ended the violence and stopped the suppression of all opposition in the areas that they controlled. Although it is important, as the hon. Gentleman says, to resist calls to change the nature of this conflict and go beyond the resolutions, it is also important to resist any temptation to weaken in our implementation of the resolutions. That is why we must continue carefully and persistently with the strategy we have set out.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given that there are now 300 dead in Syria and hundreds more imprisoned, is it not time for Britain to lead the way with a United Nations resolution to try to stop what Syria is doing?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As I mentioned in answer to earlier questions, it is not a simple matter to pass a United Nations Security Council resolution on Syria—of course that may change as the situation in Syria develops. The important thing for today is to emphasise that, as I said in my statement, the Syrians are at a fork in the road and are coming to the last point at which they can say, “We are going to embrace the reform that is necessary in our country and that will be supported nationally and internationally.” If they continue down the alternative route of ever more violent repressions, our concerns will of course be shared more widely at the UN Security Council and the situation there may change.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I sympathise with the Foreign Secretary, but I am afraid I agree—I do not often say this—with my hon. Friend the Member for Islington North (Jeremy Corbyn) in that the arguments that the Foreign Secretary is using increasingly sound casuistical, especially when he tries to draw a distinction between why we are engaged in Libya but not in Syria or anywhere else and, in particular, when he says that although we are providing equipment, that is all right because it is non-lethal, or that although we are providing military personnel, that is all right because they are not instructors. Surely we are coming to a fork in the road: either we want rid of Gaddafi and we should get rid of him, or we should get out of there.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Sympathy from the hon. Gentleman is entirely unnecessary in my case; I can assure him that I will be fine without it. Anyway, I suppose I am grateful for it. Let us think about the alternatives for which he seems to be calling. One is to weaken in what we are doing, to say that we do not really care what happens in Libya, and to allow Colonel Gaddafi to run amok in murdering thousands of his own people, destabilising everything else in north Africa. I reject that alternative. The other alternative to our policy is to say that we are not really going to abide by the UN resolutions and that we will do whatever we are urged to do, because we think that our public’s patience is too limited in any matter of international relations and so we will be panicked into doing other things. I reject that alternative, too. For too many years, we have been accused of not having the necessary legality or moral support for, or an international coalition behind, what we are doing. We are going to maintain those things in what we do in Libya and that requires persistence in the policy we have adopted.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Foreign Secretary and I have had a number of exchanges on this subject. I have a great deal of sympathy with what the hon. Member for Islington North (Jeremy Corbyn) said, because the Prime Minister has written to me today saying that

“we do not rule out supplying lethal equipment, but we have not taken the decision to do so, and there remain legal and practical questions which need to be carefully considered.”

That is the Government’s policy, the legal basis of which seems to be as clear as mud. The problem, very simply, is that we want to relieve the pressure on civilians and to ensure that the people in Libya are properly protected. Unless they are given arms and the right kind of equipment under the resolutions—including paragraph 9(c) of resolution 1970, which I have mentioned before—there will be hand-to-hand fighting and they will not have the ability to deliver. That is where the problem lies and the policy must be made clearer. Why does not the Foreign Secretary go back to the sanctions committee and find out?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I hope the policy as I have set it out is very clear about the Government’s understanding of what is legal under the UN resolutions and about what we are doing, which is different from going the whole way under the resolutions towards arming civilians and the opposition in certain circumstances. We have not taken the decision to do that, as my right hon. Friend the Prime Minister said in his letter to my hon. Friend. We are giving a great deal of other assistance. We should remember that what the United Kingdom is doing as regards the deployment of the Royal Air Force and its military action over the past five weeks, which has potentially saved the lives of hundreds or thousands of people, is a greater help to the civilians of Libya than we can provide to them in any other way.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As we have seen in the House today, to many outside this House Britain’s intervention in Libya looks like a blood-soaked political shambles. As we have moved from the protection of civilians to regime change, promises of no boots on the ground have been undermined by the presence of advisers’ boots on the ground. Now a limited intervention has moved to being a long-haul engagement. Have the Government given any consideration whatsoever to conflict resolution and taking up the offers from other countries of mediation to secure a peaceful settlement?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Attempts at mediation by other countries so far have run into the problem of Colonel Gaddafi’s refusal to depart. Without that departure, it is hard to see a solution being arrived at in Libya. That is the difficulty. We have agreed in the contact group that it is primarily for the UN special envoy, Mr Khatib, to take forward the work of trying to search for a political settlement—that is absolutely what the UN special envoy is for. We have in no way lost sight of that aim, but it will require a genuine ceasefire, which seems also to require the departure of Colonel Gaddafi. The hon. Gentleman speaks of a blood-soaked result to what we have been doing, but there really would have been a blood-soaked result had we done nothing five weeks ago, allowing Benghazi to be overrun, thousands of people to be killed and tens of thousands to be driven towards the border. That would have been a blood-soaked result, and I think that was the policy that the hon. Gentleman favoured.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The debate and vote on Libya was couched very much in terms of humanitarian aid, but it has since become clear, from the rejection of the African Union peace proposals and from the joint statement, that Britain, the US and France will accept nothing less than Gaddafi’s removal. Will the Foreign Secretary sanction a further debate and vote on this issue in Government time?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

No. Of course, I will make statements to the House whenever possible and I am in no way resistant to long debates about the matter, but I do not think the Government’s policy has changed in any material way that requires a fresh vote in the House of Commons. We are absolutely within the United Nations resolutions and within the policy we expressed at the outset.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Could the Foreign Secretary explain how it is that the Italians are now providing strike aircraft and the Americans unmanned Predators? He described how the 1,500 strike sorties have seriously degraded Gaddafi’s military capacity and he described the severity of the UN sanctions, but those are all actions undertaken by external bodies—the UN, NATO and Arab allies. Will he tell us whether there is a plan—not a time scale, but a plan—so that the House can know how the national transitional council might be in a position to offer Libyan political and military leadership, which would bring an end to the problem?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The national transitional council has organised itself over the past five weeks. It has a president in Mr Jalil and an executive prime minister figure in Mr Jabril, and it is seeking other adherents and allies in Libya—and not just in the east, where it is based, in Benghazi. In recent days, towns in the west—on the western border—have also declared their adherence to the national transitional council. It is making a genuine effort to include people in its work beyond its current base and operations. It believes in the territorial integrity of Libya and in being able to bring the Libyan people together in future. I think it does have a political plan and a plan for a political transition, but the behaviour of the regime’s forces at the moment prevents it from carrying that out.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It seems fairly clear that the western Sahara and the Tindouf refugee camps are being used as a recruiting ground by General Gaddafi, yet the Polisario Front maintains an office in many western capitals, including London. What pressure can we put on the Polisario formally or informally to make it very clear that any co-operation with Gaddafi is unacceptable and highly unlikely to help its cause?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

If we have clear evidence of what my hon. Friend raises, we will make that very clear and there will certainly be consequences, but we would have to have clear evidence.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Foreign Secretary might well have the agreement of the Libya contact group, but does he have the support of the British public for what is happening? When we had a debate only weeks ago in the House we were assured from the Government Benches that there would be no mission creep and no targeting of Colonel Gaddafi. We were assured that regime change was not our objective and that there would be no boots on the ground, but we now have quite a strategic change. How will the right hon. Gentleman assure the British public that there will not be further mission creep when those military liaison officers advise that further support is needed on the ground?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I hope that I have made it clear in the House today—indeed, on all days—that there will be no ground invasion of Libya and that we are not planning to send troops in any large numbers into Libya. I have made clear the terms on which the military liaison advisory team has gone into Benghazi. I think that what people would worry about with mission creep is a ground invasion—a protracted ground battle involving British troops in Libya—and that is not on the cards. It has no part in our plans and it is not consistent with the UN resolutions, so I can reassure people about that and I hope that the hon. Lady will join me in doing so.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

From contacts of mine in Libya it is clear that morale among the opposition fighters, whether they be in the east or the west, differs greatly depending on their military successes and on what the international community does and how it acts. One thing that many people are calling for is the British Government's recognition of the TNC as the legitimate Government, albeit a transitional one. Are we considering that measure?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The wording that we agreed for the whole contact group at Doha and the wording that I used in my statement earlier is that in contrast to Gaddafi, whom we do not regard as having legitimacy any more in leading the Libyan people, we regard the transitional national council as a legitimate interlocutor representing the aspirations of the Libyan people. I think that is the right way to put it. My hon. Friend will say that that is not formal recognition of the council, and it is not, because we recognise states rather than Governments within states and there are very good reasons to continue that policy, but it means that our diplomatic mission in Libya is in Benghazi, not in Tripoli. Our active daily work is with the transitional national council, so for all intents and purposes our approach, and that of France and Italy, for instance, which have formally recognised it, is identical in practical terms.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Does the Foreign Secretary accept that our activities in Libya have now gone well beyond the terms of a no-fly zone to protect civilians? Is he not concerned that we will be giving the impression that we are taking sides with the intention of regime change, rather than protecting civilians? Is that impression not being strengthened by the fact that we are not even calling for sanctions in Bahrain and Syria, in spite of the atrocities being carried out there?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Well, no. It will be evident that I do not agree with that. I think we are operating within the UN resolutions and so do the vast majority of other nations—so does the whole of NATO and the vast majority of the Arab world, including the Arab League. I stress again the importance of the legitimacy of our actions internationally, which means that where the Arab League has called for assistance, as it did in the case of Libya, we are in a different situation from other countries and regarded as such at the United Nations Security Council. We are operating in response to the calls from the Arab League and with the authority of the United Nations Security Council, and we will continue to operate within those constraints.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

rose

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Order. A very large number of colleagues are still seeking to catch my eye. As right hon. and hon. Members know, I always seek to accommodate as many as possible. I know that the Foreign Secretary regards occasions such as this as the political and intellectual equivalent of one of his judo routines, and I am sure he makes no objection, but I need a degree of economy if we are to accommodate the interest of colleagues.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

At the end of February, I and a number of colleagues visited Syria. It was obvious to us then that that country was at a tipping point. Two things were obvious: first, young people wanted economic and social reform; and secondly, the reformers and the hard-liners were locked in battle inside the Government. We now have a report that Iran has been invited in to crush the reformers. What robust message can we send that aligning itself with Iran is in the long term a losing game for Syria?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Since it is possible to make quick, deadly judo moves, I will try to give quick answers. We have consistently given the message to Syria, including when I saw President Assad in January, that aligning Syria with Iran is a great mistake, and it would be a great mistake to intensify that in the current crisis.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I remind the Foreign Secretary that with a heavy heart I voted in favour of the intervention in Libya? I and many colleagues did so because we believed that it was imperative to stop the death of innocent civilians—men, women and children. That was the reason that I voted for it. I am very concerned about some of the right hon. Gentleman’s remarks today, which did not address the report that many of us heard on Radio 4 this morning from a respected British journalist about the 1,000 deaths in Libya in recent days. We are not doing enough to stop that. I do not want ground troops; I am not a warmonger; but what has happened to the American intervention that seemed to be more effective in the early days?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Just because we cannot do everything does not mean that we should not do something. It has of course not been possible to save every life in Libya—this is an extremely messy and difficult situation—but the hon. Gentleman should be proud of the fact that, although he voted with a heavy heart, the vote in this House, and that in other Parliaments, to support military action has probably saved thousands of lives and saved tens or hundreds of thousands of people from a desperately difficult humanitarian situation. It is better to vote with a heavy heart than to be a faint heart about this situation.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Foreign Secretary carefully draws the distinction that the equipment supplied by Britain to the Libyan transitional national council is of a non-lethal nature, but in an era of improvised explosive devices how confident can we be that even telecoms equipment might not ultimately have a lethal use?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We can be fairly confident that the transitional national council very much wants to use the telecommunications equipment that we have given it as telecommunications equipment, as it is doing. It would not be productive to divert that into other things. The other equipment that we have given is body armour, and it is quite difficult to use that in any way other than to save life.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On 18 March the Prime Minister said:

“The resolution helps to enforce the arms embargo, and our legal understanding is that that arms embargo applies to the whole of Libya.”—[Official Report, 18 March 2011; Vol. 525, c. 623.]

That has been reinforced by the Foreign Secretary today. Can he therefore tell us what active measures NATO forces are taking to stop the supply of any arms to the rebel forces from outside Libya, or is it in fact the truth that NATO is the military wing of the rebel forces in a civil war?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The NATO operations, in which ships of many nations are involved, including those of our own Royal Navy, are dedicated to enforcing an arms embargo on the whole of Libya. They are positioned in order to do that, so the hon. Gentleman can be confident that they are doing that.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given the permeable nature of the Libyan border, particularly around the Sarra triangle, will the Foreign Secretary please advise us on what actions he has sought from the countries surrounding Libya to prevent foreign mercenaries from entering the country and assisting the Gaddafi regime?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We have made that point to neighbouring countries and have been particularly active with the Government of Tunisia in trying to stop any flows into Libya of matériel or arms that would be used by the Gaddafi regime and that would enter the country in contravention of the Security Council resolutions.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Over the weekend I met a number of constituents who are very concerned about their families and the situation in Yemen. Yesterday, two protesters were killed there and hundreds were injured. The Foreign Secretary spoke about the Gulf Co-operation Council’s efforts to break the political deadlock and a revival of the Friends of Yemen group, but what specific representations are the British Government making to call on President Saleh to end the violence?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We have made those representations all the time. I went to Yemen and saw President Saleh at the beginning of February to urge him to come to an agreement with the opposition parties, which he seems to have done in the past 24 hours, thanks to the mediation of the GCC countries, so we have been very heavily involved in that. Our ambassador in Sana’a has been particularly heavily involved on a daily basis for many weeks with both the Government there and the opposition, and the British Government have been heavily involved.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Will my right hon. Friend take this opportunity to remind the Assad regime that ordering the army’s tanks to slaughter its own people is completely unacceptable, that it will have repercussions for Syria’s international relations for years to come, that it may well be a war crime, and that it will undoubtedly lead to sanctions?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, I will. On top of that, such actions will not even bring longer-term security to the regime itself, so it is a thoroughly bad idea.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We have sent in a small team of military advisers, as have the French and, for all I know, some other countries. What co-ordination is there between those various teams of military advisers in order to provide coherent, rather than contradictory, advice?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

As ever, that was a very perceptive question from the hon. Lady. That is a very important issue. A French team is going, and there may well be a team from another European country. They are working very closely together, and the effectiveness and experience of the British team is helping to ensure that everyone there works together.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Does the Foreign Secretary agree that it is important to communicate to the critics—in this country and abroad—of previous military conflicts that the intervention in Libya is not just another western intervention? Can I ask the Foreign Secretary, therefore, how many Muslim countries are contributing to the implementation of UN resolution 1973?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

My hon. Friend makes a very powerful point. The coalition includes countries from the Arab League, and the specific answer is that two Arab nations are involved in enforcing the no-strike zone, and in one case in ground strikes as well. Several other nations are providing logistical, humanitarian and, indeed, financial support. I have already mentioned the case of Kuwait, and Turkey is of course heavily involved in enforcing the arms embargo and in giving humanitarian support, so a wide range of Muslim nations is involved.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The Foreign Secretary sounds increasingly like Dr Pangloss —that this is the best possible policy of all possible policies—but in tone and content his statement is very different from the speech that the Prime Minister made here last month. There has been a clear defining of objectives on regime change and on taking one particular side in a civil war. I regret that the Foreign Secretary has already said that he will not organise a debate in the House on a voteable motion, and I hope he will reconsider that, because it is better done on a Government motion than on a Back-Bench one.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Those are of course matters for the House anyway, but my point is that I do not regard the Government’s policy on the issue as having changed. I have said today that Colonel Gaddafi must go, and the Prime Minister said that in the debate on 21 March. I have said also that we will continue to take all necessary measures to protect civilians, although the nature of those measures may change from week to week, and that is what we said in the debate of 21 March that we would do, so we have not changed our approach.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Given the Gaddafi regime’s constrained refining capability, what assessment has my right hon. Friend made of the merits of strengthening the restrictions on supplies of petrol and diesel to the regime’s forces?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It is very important to enforce the existing sanctions on the regime. We are doing a lot of work to make sure that they are rigorously enforced by other countries, and that takes in my hon. Friend’s point. So we are looking at that at the moment.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I press the Foreign Secretary on the subject of the contact group? What discussions has it had about the need for humanitarian troops to go in and provide aid, and specifically what discussions has he had with Turkey and other Muslim nations about that role?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The contact group has not discussed troops going in for humanitarian purposes. It did of course discuss in Doha the need for effective humanitarian relief, particularly for people in Misrata, and we have been successful in providing a good deal of that over the past couple of weeks, but the group has not had discussions about military provision to assist the humanitarian effort. We would be guided by the United Nations and, in particular, by the Office for the Co-ordination of Humanitarian Affairs on requesting any military support for humanitarian needs, but no such request has been made.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I welcome my right hon. Friend’s announcement of a proper financial structure to provide short-term finance to the Libyan national transitional council, but he will be aware that one of the many challenges facing the rebels is the need for cash to fight Gaddafi as well as to provide important public services, so will my right hon. Friend consider releasing to the rebels the many hundreds of millions of Libyan dinars that are printed or held in this country in order to help to finance their fight?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Those Libyan banknotes are held in this country as part of the asset freeze, and since they are held as part of the asset freeze they remain frozen. [Interruption.] Indeed, that is not surprising. The Government have not so far seen any legal way of releasing those banknotes from the asset freeze.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

May I add my voice to those on both sides of the House who have called for a further debatable resolution of the House about the future of this action? Does not this whole issue illustrate the importance of the International Criminal Court’s being able to take effective action against despots before their people rise up against them, and what is the Foreign Secretary doing to make that more possible?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Of course it would be helpful if the ICC were able to do that. As the hon. Lady knows, there are cases such as that of the President of Sudan where we have all supported the ICC’s being able to come to its indictments. There is then the problem of the people of those countries not being able to turn over those despots to the ICC. However, we certainly support the ICC’s being able to make investigations in circumstances short of what we are seeing in Libya now.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

In the weeks leading up to the most recent major religious festivals, Jerusalem suffered the first suicide bombing for nearly three years and ordinary Israeli citizens experienced an escalation of rocket attacks from the Gaza strip. What has my right hon. Friend done to apply pressure to Islamic Jihad and Hamas to cease their terrorist activities and return to the negotiating table?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The UK is very clear: we have expressed our outrage at those attacks. We have also called on Israel to exercise restraint in responding to those attacks, because we believe that there is an overriding need to put new life into the middle east peace process and for Israeli and Palestinian leaders to make the necessary compromises—compromises which Hamas leaders have never yet shown that they are prepared to make. It is necessary to do that in order to bring long-term security to the middle east and an end to the kind of appalling incidents that my hon. Friend mentions.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I thank the Minister for his statement. Right across the whole of Libya a great many new battles are starting—for example, on the Libya-Tunisia border. Is NATO and the western alliance aware of all these battlefronts in places where people are fighting for freedom, and what help is it able to give them?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Yes, I believe that the NATO command—NATO plus the Arab allies, I should stress—are aware of these situations, some of which are difficult to help for the reasons of close-quarters fighting that were described earlier. NATO air strikes have been used in recent days to relieve the pressure not only on Misrata but on towns in the west of Libya, with some effect. That will continue and, if necessary, intensify.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

It was plain from my right hon. Friend’s answer to my right hon. and learned Friend the Member for Kensington (Sir Malcolm Rifkind) and to my hon. Friend the Member for Stone (Mr Cash) that the Government have received very clear legal advice on the action that has been announced while the House has not been sitting. The Government made a great advance in publishing a summary of the legal advice on Libya before the last debate. Will my right hon. Friend undertake to update that advice by placing a copy of the Attorney-General’s advice in the Library?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

We provided the note on the legal advice in order for the House to have a debate and for it to take a very important decision. History showed that the House really did want to know more about the legal advice in such circumstances, but I am not going to commit the Government to doing so on a case-by-case or continuous basis.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Should Colonel Gaddafi be deposed, or go by whatever means, would he be subject to the 1970 human rights Act—I am sorry, not human rights—[Interruption.] If I may carry on, would he be subject to the war crimes part of UN resolution 1970?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

That depends on what Colonel Gaddafi has done. The International Criminal Court is looking into that at the moment. As I said, we expect a report from the prosecutor of the ICC to the United Nations next Wednesday, 4 May. That will be the next development in this subject and it is the ICC that will come to a view about it.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Does my right hon. Friend agree that over the last few weeks, not only have the eyes of much of the world been on Libya, but, unfortunately, so have the eyes of the leaders of many of the most brutal and oppressive regimes in the world? If Colonel Gaddafi manages to cling to any form of power having turned heavy weapons on his own people, it will make such behaviour far more likely in other countries across the region, costing many tens of thousands of innocent lives and potentially putting back the cause of democracy for decades. Is it not for that reason that Gaddafi must go, by one means or another?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

That is one of the reasons. Certainly, if Gaddafi had been able to do what he intended to do, the Arab spring, as many have called it, and the desire for democracy and greater freedom in the Arab world would have suffered an enormous setback, with potentially damaging consequences for this country.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to the Foreign Secretary and colleagues for their co-operation in what were very full exchanges.

Points of Order

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a point of order, Mr Speaker. Vicky Haigh, a horse trainer and former jockey, was the subject of an attempt by Doncaster council to imprison her for speaking at a meeting in Parliament. There was discussion earlier today as to whether that case was sub judice. An application was made to the court, a copy of which I have provided to your office. Additionally, I have provided to your office a copy of the court order in which it was deemed that she would not be jailed. I assume, therefore, that the case is not sub judice, in accordance with sub-paragraph (b)(ii) of the relevant resolution:

“Any application made in or for the purposes of any civil proceedings shall be treated as a distinct proceeding.”

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to the hon. Gentleman for his attempted point of order and for notice that he was to raise the matter this afternoon. I do not intend to have a discussion on the Floor of the House, notwithstanding what he said about documents that have been deposited, on whether a particular case is or is not sub judice. One of my duties is to uphold the resolution of the House with respect to sub judice issues. As far as this particular matter is concerned, I am perfectly prepared to discuss it privately with the hon. Gentleman. I will not take any further points of order on this matter today, and I feel sure that he will take his cue from the clear response that I have given.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a separate point of order, Mr Speaker.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The hon. Gentleman may have a separate point of order, but it is a bit greedy to have two in one go. We will have someone else first so that he can save his vocal cords and we will revert to him in due course.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a point of order, Mr Speaker. Have you had notice from the Secretary of State for Defence that he will come to the House to make a statement on the decision to refuse the invitation of Belfast city council for a homecoming parade for the men and women of the Royal Irish Regiment and the Irish Guards, who have recently completed tours of duty in Afghanistan? That decision has been greeted with incredulity and anger across Northern Ireland. Given that there was a parade the last time they returned and tens of thousands of people turned out in the streets of the capital city of Northern Ireland, which the troops appreciated greatly, surely the Secretary of State owes it to this House to come and at least explain the decision, if not to announce its reversal and allow these brave men and women their moment of appreciation in the capital city of Northern Ireland.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I fully understand the strength of feeling of the right hon. Gentleman, and I know that the House will respect the sincerity and experience with which he registered his concerns. I hope that he, as an experienced parliamentarian, will readily understand that I cannot join the argument. However, he has put his point forcefully on the record in the presence of Ministers. In particular, it has been heard with courtesy by the Deputy Leader of the House. If the right hon. Gentleman wants to pursue the matter in other ways, he can. I have not as yet had any indication that a Minister wishes to make a statement on the subject.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a point of order, Mr Speaker. This afternoon in Health questions, the Health Secretary told the House that waiting times were stable in the NHS. In fact, for the first time in three years more than one in 10 in-patients are waiting more than 18 weeks for their hospital treatment; the proportion of people waiting more than four hours for emergency treatment is the highest for six years; and the number of people waiting for diagnostic tests for more than six weeks has doubled. Those are the Government’s figures, confirmed recently by the independent King’s Fund. Can the House, through you, Mr Speaker, ensure that the Health Secretary sets the record straight and, in future, gives a full and accurate account of the changes in waiting times that we have seen over the past year?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

What I would say to the right hon. Gentleman is as follows. First, Ministers are responsible for the content, including the accuracy, of the answers that they give and the statements that they make to the House. Secondly, I hope he will understand when I say that I cannot get involved in the question of the quality of an answer. Thirdly, I think it would be well beyond the limited powers and capacities of the Chair to join an almost theological debate about what constitutes stability, in respect of either the health service or any other feature of our national life. However, the shadow Health Secretary has put his point on the record.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a second point of order, Mr Speaker, of which I also gave notice, I wish to make another point about sub judice. There is a tendency for people to issue injunctions on the basis of a claim that they intend to issue proceedings, but then not actually issue those proceedings. One such case is AMM, in which no proceedings have been issued. One would therefore presume that such a case never becomes sub judice.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The ingenuity of the hon. Gentleman is almost boundless, and that fact will not have gone unnoticed in any part of the House. However, the initial observations that he made demonstrate to me that the second issue that he has raised is also one for consideration at our private meeting, which I feel sure he is eagerly awaiting.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a point of order, Mr Speaker. You will know that during the parliamentary recess over Easter, a number of Members wished to see the recall of Parliament in order to debate Libya more fully. Indeed, that was borne testament by the number of contributions following the statement this afternoon. Is there a way that is in order to thank you for extending the statement by almost half an hour to enable all Members to get in?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Well, there is, because the hon. Gentleman has just proved that there is and done it. We are grateful to him for his point.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

On a point of order, Mr Speaker. Over the Easter break—an unfortunate term, perhaps—News International confessed to the fact that there had been a very significant degree of criminality at the News of the World, in direct contradiction to the evidence that it had provided to two Select Committees of this House. In other words, it had misled the House. In addition, Rebekah Brooks, who on 11 March 2003—I can see that the Clerk is worrying, Mr Speaker. I am not—

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Order. What I would say to the hon. Gentleman is that it is clear to me that he is raising a matter of privilege. That is certainly my very clear understanding of what he has said—it is about privilege and the breach or invasion thereof. It seems to me, therefore, obviously a matter that should be pursued with me in writing in the first instance. I readily expect and almost invite the hon. Gentleman to take that course if he so wishes.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

rose

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am being very generous, but I will give the hon. Gentleman one last go at a point of order.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am grateful to you for your generosity, Mr Speaker.

In addition, Rebekah Brooks, who in March 2003 said that she had paid police officers for information, wrote to the Home Affairs Committee only a couple of weeks ago to say that what she really meant was that other newspapers had done so. That is a blatant lie. Before I write to you about standards and privileges, Mr Speaker, may I ask whether you have had any apology from News International? The House should no longer put up with being lied to.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I am not aware that the House has received any apology, and I certainly have not. Notwithstanding the intellectual and political ingenuity of the hon. Gentleman, his second set of observations merely confirm the truth and wisdom of what I said in my first answer, which is that he should pursue these matters with me in writing in the first instance. He and other Members know that on this matter, as on others, I am very receptive to hearing what the House has to say. These matters should be aired, but they must be aired in the appropriate forum and at the appropriate time.

If there are no further points of order—the creative juices of the House are always on display when we have had a long recess—we will move on.

Industrial Relations (Voting Procedures)

Motion for leave to introduce a Bill (Standing Order No. 23)

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I beg to move,

That leave be given to bring in a Bill to prohibit strike action in the emergency and transport service sectors unless a majority of employees in the unionised workforce has voted in favour of such action; to make procedural provision in relation to balloting for industrial action; and for connected purposes.

The right to peaceful protest and collective action are inextricably linked to, and bound up with, this country’s struggle for liberty, democracy and basic rights. The House will recall that it was a criminal offence to strike in Britain until 1875 and the Administration of Benjamin Disraeli. We should never forget the sacrifices made by those who went before, including the Chartists, social reformers and the early union movement, those who campaigned against child labour in the poor house and virtual slave labour under the poor laws, and those who campaigned for greater democratic representation.

Industrial action played its part in securing reform, from Annie Besant’s match girls union striking against the use of yellow phosphorous in match-making, which caused bone cancer, to the 1889 dockers’ strike in east London against the mercenary exploitation that pitted desperate workers against one another in competition for casual labour on the very harshest terms. I wonder what those heroic campaigners would have made of recent strikes over travel perks, annual bonuses and the right to retire at 50.

Despite a massive expansion of health and safety regulation, employment law and various other social protections, Britain is still episodically held hostage by a vocal minority led by militant union bosses. The damage to the British economy and jobs is immense. In 2002 and 2007, we lost more than 1 million working days because of strike action—[Interruption.] Opposition Members may find that a laughing matter, but the tax-paying public do not.

In 2009—a comparatively quiet year—we lost almost 0.5 million days, which is way more than in Germany, Italy, the US and Australia, and the last tube strike cost the capital £50 million each day, disrupting more than 1 million commuters. What is worse still is the way in which union bosses frequently rely on a minority of members to corral and coerce the majority into strike action. That is what the Bill addresses.

The number of strike ballots carried on a minority of members is increasing at a rapid rate. The National Union of Rail, Maritime and Transport Workers, led by Bob Crow, is one of the worst offenders. A third of members supported his tube strikes in the autumn of 2010. The current ballot, for which results are due tomorrow, seeks to escalate previous strike action on the Bakerloo and Northern lines and carried just 35% and 20% of support from members.

In 2010, the Public and Commercial Services Union, claimed legitimacy for a strike ballot on redundancy pay that carried the support of only 20% of its members. Unite and the Broadcasting Entertainment Cinematograph and Theatre Union have also recently led strikes with minority support.

My Bill will address that by amending the Trade Union and Labour Relations (Consolidation) Act 1992 to require the support of a majority of members—not simply a majority of those voting—for strike action in the emergency services and the transport sector to be lawful.

Let me be absolutely clear: the Bill would have stopped not the majority of recent strikes, but just those not supported by a majority of union members. Some will say, “Yes, but politicians are elected only by those who turn out to vote,” but strike ballots and political elections are fundamentally different—[Hon. Members: “Why?”] I am coming to that very point. Strike action takes advantage of an express immunity created by an exemption to the law. Without that exemption, unions could be sued in contract and tort law for the damage that they do, just like everybody else.

Strike action based on minority support allows union bosses to corral, cajole and sometimes even bully the majority of union members into supporting strike action and losing pay, when actually they want to get on with their work and their job. Guidance issued by many unions instructs all members to support strike action regardless of whether they voted for it. Then there are the widespread reports of bullying. When British Airways sacked and suspended almost 100 workers after the 2010 strike, it stated that they were mostly for allegations of bullying or intimidation made by other colleagues. The pending RMT ballot was called by Mr Crow in defence of a tube striker sacked after being accused of abusing another tube worker during a strike in 2010, and just last month his right-hand man at RMT, Mr Steve Hedley, was convicted of assault after attacking a fellow worker who crossed the picket line to work. It speaks volumes that the RMT leadership backed Hedley over the victim of that assault.

This kind of bullying is bad enough in any circumstances, but it is particularly reprehensible during strikes that cannot command a majority of support among a union’s own members. Why should a militant minority coerce, intimidate and bully the silent majority? [Interruption.] I think we are hearing the answer from the mutterings from Labour Members. Nor should the same militant minority be licensed to disrupt the wider public and damage the UK economy. This Bill will focus on strikes in the emergency services and the transport sector, where the scope for such disruption is particularly acute. The CBI, Policy Exchange and the London Mayor have all called for a threshold for strike action. Other countries, such as Denmark and the Czech Republic, have a threshold, and the Prime Minister has agreed to consider the case for reform in this area.

In truth, this is just one of the changes we need. However, the Bill is framed in terms that would at least allow for a wider debate, if Labour Members can stomach it, particularly on, for example, the case for a requirement that strike ballots specify the grievance, so that—God forbid—members are actually told what they are being asked to strike for, and so that union bosses cannot exploit a successful ballot on a specific grievance in pursuit of their own wider vested interests. Likewise, there is a case for requiring individual ballots for strikes against each legal public sector employer, so that nationwide strikes cannot be instigated on the thin pretext of some localised dispute.

The main aim of the Bill, however, is to give strikes greater democratic legitimacy. Union bosses on six-figure salaries, some elected by a small fraction of their membership, have grown out of touch with their members and with reality. The number of minority strikes shows that they are often less interested in representing all their members, and more interested in pursuing their own political agendas. Our law gives them too much power, and they are abusing it, not just to blackmail the Government, but to coerce their own members and inflict maximum damage on the wider taxpaying public. The question for the House, therefore, is: who is prepared to stand up for the hard-working majority in this country? These proposals will support the silent majority struggling and striving across both the public and private sectors. I commend the Bill to the House.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Obviously, I rise to oppose the Bill. Let me be honest: it was not just the sight of the salivating rants of Tory MPs and their Lib Dem friends that got me to my feet; it was probably this sense of déjà vu, this groundhog day. I was looking round for Lord Tebbit—I have been in the House a long time—because this proposal is cast very much in the mould of what we have seen before. [Interruption.] Those same old Tories indeed.

The beginning of the speech by the hon. Member for Esher and Walton (Mr Raab) was interesting, because he invoked some of the great industrial disputes of the past, when people fought for their basic legitimate rights and the kind of things that people are now fighting for in Egypt, Syria and wherever else. However, the instinct of the parties of Government is to crush exactly that right of people to proper demonstration against injustices imposed on them whether by employers or someone else. That is what is so sad. Once again, we have a rewind of history.

I know that the hon. Member for Esher and Walton does not have the opportunity to reply to this debate, but there are some serious points that I hope he will consider. He did not mention where else our national legislation sets out such a terrifically high threshold. Not even the advocates of AV propose such a high threshold. The bizarre thing in all this is that any election with a turnout of 70% where 70% of those voting supported a proposition would fail the test for legitimacy under the hon. Gentleman’s Bill. A turnout of 70% with 70% in favour would be seen as an overwhelming victory for the proponents of a particular course of action, whether a politician standing for elected office or anyone else.

I will make an offer to Government Members. If they accepted the same concept—a 50% threshold among all those available to vote—as a means of determining the 2010 general election, when the coalition parties got under 40% of the vote between them, and if on that basis we reverted to the status quo of a Labour Government, then many people in this country would accept the legitimacy of that threshold. What they would not do, however, is accept that the Bill has anything to do with modern industrial relations.

It is interesting that in proposing the Bill, the hon. Gentleman failed to mention the fact that in many cases bad employers are involved. Bad employers have consequences for the work force. They lead to increases in, for example, absenteeism, sickness and, of course, the capacity of the work force to think about taking industrial action. The other thing that the hon. Gentleman did not mention is the fact that in many disputes the turnout would pass his threshold—a threshold that I do not think he managed to pass in his general election results. He did not get 50% of eligible voters voting for him in the general election. [Interruption.] I am told that he did. Will all Government Members who got the support of 50% of those eligible to vote put their hands up? [Interruption.] We see three—a very poor test of democracy among representatives of the governing coalition.

The important point is that this Bill has nothing to do with modern industrial relations or ensuring that we bring parties in dispute to the negotiating table. At no point did the hon. Gentleman mention the fact that we need an industrial framework that involves ACAS at an early stage, and includes a capacity for arbitration, and give and take on both sides. Instead, for Government Members, this issue is about domination—one side being the victor under all circumstances—but that is not the modern world that Britain wants. That mentality is why, when the Conservatives and their friends were in government in the ’80s, more than 1 million days were lost every year in industrial action. That dropped by a third when a Labour Government took office, because the industrial relations climate was very different.

Members in all parts of the House—even on those on the Government Benches—should pause and ask whether this Bill is really the direction of travel that modern Britain wants to take. I have been in this House for quite a long time, and I remember the days when rather bizarre ideas were thrown up by Back Benchers in ten-minute rule Bills, early-day motions and so on. We dismissed them and laughed at them as the fancies of the rabid right-wing of the Conservative party—and now its Lib Dem friends—but the problem was that quickly afterwards those ideas were translated by those on the Front Bench into Government policies. That is why it is so important that the House and the country should recognise the irrelevance of this Bill when it comes to having any practical impact on modern Britain or addressing its need for improved industrial relations.

I invite the hon. Gentleman to get out a little more and to talk to people who work and who are not bullied by trade union bosses but who cast their vote in secret. That is the nature of the balloting process for trade unions; it is a secret ballot in which individual members cast their own votes. Those members are sovereign. Most aspects of the balloting process for industrial action are widely accepted by trade unions and by employers as the legitimate way of doing this. Very few of them are arguing that we should increase the height of the hurdles to make it difficult for legitimate industrial action to take place.

The reality is that when we restrict the capacity for people to register this kind of protest, we do not improve industrial relations. There might be short-term gains, but in the end, such action merely entrenches the disaffection of those employees who feel that they have been badly treated and increases the arrogance of the bad employers. That is exactly what we had in the 1980s: an arrogant management culture; attempts by the Government to support arrogant managers; the de-industrialisation of Britain; an increase in the number of days lost through industrial action; and the very shameful record of previous Conservative Governments on industrial relations.

Perhaps the hon. Gentleman should come over and talk to some of the people on the Opposition Benches who know employers and employees, and who know what good industrial relations look like. Perhaps we could give him a quick crash course on how to move forward with a measure that makes sense in modern Britain. If his Bill is not defeated today, perhaps he could gracefully withdraw it and say, “Yes, I admit that I got this wrong. I was influenced by those around me who simply wanted to turn the clock back to the 1980s. On that basis, I withdraw my Bill and we will start again with a better concept and a way of looking at industrial relations as something that involves the employer and the employee in partnership, rather than in permanent conflict.” I urge hon. Members to oppose the Bill.

Question put (Standing Order No. 23)

Division 255

26 April 2011

The House divided:

Ayes: 121
Noes: 171

Question accordingly negatived.

View Details

Finance (No. 3) Bill

[Relevant document: The Tenth Report from the Treasury Committee on Budget 2011, HC 897]

Second Reading

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

Before calling the Minister to move Second Reading, I inform the House that Mr Speaker has selected the amendment standing in the name of the Leader of the Opposition.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I beg to move, That the Bill be now read a Second time.

The clauses that we are here to debate are another important step on the long road to economic recovery. They will promote growth and provide support for households and small businesses under pressure. They will encourage investment as well as enterprise, and they will help us to clean up the mess that the previous Government left behind.

As we start this debate, it is worth recalling the state of the economy that this Government inherited nearly a year ago. Britain had endured the longest and deepest recession in living memory. We were borrowing one pound for every four we were spending. We had the largest budget deficit in our peacetime history, one of the largest in Europe and the largest in the G20, yet no detailed plan was in place to deal with it—and that was not the end of the story. In the preceding decade Britain had slipped down the international league of competitiveness from fourth to 12th. We had seen our share of world exports decline, and we were considered to be a worse place to start a business than many of our European neighbours.

That was the coalition Government’s inheritance, which is why we have set about restoring confidence and stability to our economy, with a clear strategy for growth. At its heart is a credible plan to tackle the enormous deficit—a plan we are already implementing—so that the current structural deficit will fall in each and every year of this Parliament, and is forecast to be eliminated by 2015. National debt is forecast to fall as a proportion of gross domestic product in the same year, so that we can finally start to reduce the huge interest payments with which this country has been saddled—the lasting legacy of Labour’s failure.

The action we have taken on the deficit has shown that Britain’s economic future is now in safe hands, that this is a Government who know how to manage the country’s finances and that we have a credible plan to deliver the strong, sustainable and rebalanced growth that this country needs.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

If things are so rosy, why has the Office for Budget Responsibility forecast for growth gone down from 2.6% to 1.7%? Why has it projected that unemployment will increase by 200,000 as a result of this and previous Budgets? Why is it that we are doing so badly under this Government?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I do not think I said that the position was rosy. I was going out of my way to describe the calamitous state of the public finances that the Labour party left.

I would like to touch on growth first. In the Budget we set out four economic ambitions: that Britain should have the most competitive tax system in the G20; that Britain should be the best place in Europe to start, finance and grow a business; that we should be a more balanced economy by encouraging exports and investment; and that we should have a more educated work force who should be the most flexible in Europe. The clauses in the Bill set us on the road to meet those objectives.

For the past decade Britain has been losing ground in the world economy. While other nations have reduced their business tax rates, ours have lost competitiveness. While other countries have removed barriers to enterprise, ours have grown higher still. We cannot afford this to continue. Instead, our plan for growth is based on private sector enterprise, not public sector borrowing—growing businesses, not growing debts—and on securing sustainable long-term investment.

Essential to that is creating a competitive tax system—one that enables our businesses to compete on a global stage. That is why clause 4 will see our corporation tax rate fall by 2% this year. As the House already knows, we will implement further cuts of 1% in each of the next three years, so that by 2015 we will have the lowest corporate tax rate in the G7, allowing businesses to invest more of the money that they earn, hire more workers, export more goods and support the recovery.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

The right hon. Gentleman says that in order to encourage business growth he will drop corporation tax. Why has he taken a completely opposite approach to those who are developing the North sea oil and gas reserves?

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

For the simple reason that the very high price of oil on the world markets is having a direct effect on consumers and, I am sure, on motorists in the constituency of every Member. It is right, I think, to ask the one industry that is benefiting substantially from the high price of oil to make an additional contribution to help us to reduce fuel duty.

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

rose

The edit just sent has not been saved. The following error was returned:
This content has already been edited and is awaiting review.

I will deal with the supplementary charge in more detail later, and the hon. Lady might want to come back to me at that stage, but I shall make some progress now, if I may.

An efficient tax system is not just about lower rates. To be competitive we must also look at how we tax, how that affects our businesses, and what has been holding them back in the past. The Bill legislates for reform of the taxation of foreign branches, as well as making interim changes to the outdated controlled foreign companies rules—a process started and consulted on under the previous Government. This will stem the tide of businesses leaving our shores for more favourable climes, and will ensure that the UK is an attractive place to locate and headquarter. This shows that Britain is once again open for business.