Q10. What recent assessment he has made of the effect of the European working time directive on (a) doctors’ training and (b) patient care within the NHS. (90170)

My hon. Friend raises an important issue about the working time directive and its effect on the NHS. Nobody wants to go back to the time when junior doctors were working 80 or 90 hours a week, but I think we all see in our constituencies that the working time directive has sometimes had a bad effect on the NHS, particularly on training programmes for junior doctors. That is why the Government are discussing this issue with the Royal Colleges and others to make sure that we can have flexibility in this vital area.

I thank the Prime Minister for his answer. Does he share the widespread concern coming largely from the medical professions themselves that while we wait for lengthy EU processes to reconsider the directive across Europe—and it has not even been decided what it is that they are going to discuss—we are seeing a critical undermining of junior doctors, as they often say themselves, an erosion of the future professionalism of the NHS and, dare I say it, we are putting patient care and patient lives at risk? What steps can the Prime Minister take to ensure that we sort this out quickly?

I think my hon. Friend is right. Frankly, this has nothing to do with the single market; it is to do with how we run our health service. In particular, as I have said, it affects our training programmes for junior doctors, often in rural areas where we do not have such large hospitals. What can we do to sort this out? The Health and Business Secretaries are committed to revising the directive at EU level to give the NHS the flexibility it needs to deliver the best and safest service to patients. We will work urgently to bring that about.

Is the Prime Minister aware that, since I have been an MP, every single medical problem at a hospital in my constituency is related to weekend working by exhausted junior doctors. Far from being a problem, the directive is a solution: we have had far too many exhausted doctors in charge of patients.

I do not doubt—in fact, I do doubt what the right hon. Gentleman says. I cannot believe that every problem in his hospital is down to this one issue. All I can say is that the local hospital that serves my constituents in Chipping Norton was threatened with massive downgrading partly because, under the working time directive, it could not supply the training modules for junior doctors. That seemed a classic example of the cart being put in front of the horse. We ought to determine what hospitals we want, and then think about the training modules, but the EU working time directive was getting in the way.