Q1. If he will list his official engagements for Wednesday 17 July. (165609)

This morning I had meetings with ministerial colleagues and others. In addition to my duties in this House, I shall have further such meetings later today.

People using Scunthorpe general hospital today are asking for reassurance. Given that Sir Bruce Keogh says that now is not the time for hasty reactions or recriminations, will the Prime Minister commit the resource and support—as well as setting the challenge—to ensure that the hospital delivers high-quality care across all its departments?

First, let me echo what the hon. Gentleman says about the Keogh report. That good report says that even those hospitals facing these challenges that have been investigated have many instances of excellent care. On resources, the Government are putting the money in—£12.7 billion extra over this Parliament—and we are going to help the hospitals that are challenged to ensure that they provide the very best that they can in our NHS.

I am sure that you, Mr Speaker, will be as delighted as I am that unemployment in Watford has fallen once again—to its lowest level since the end of 2009. Does the Prime Minister agree that that is a good example of how the Government’s policies are working for small businesses, because those businesses were the ones providing the 1,000 jobs and apprenticeships that were shown at the Watford jobs fair two weeks ago?

My hon. Friend is absolutely right that today’s unemployment figures are welcome. They show a very large fall in the claimant count—20,000 in the past month—and encouraging signs of employment growth, some of which is due to the extra resources that we put into apprenticeships. We can be proud of the fact that more than 1 million people will have started apprenticeships in this Parliament, and I hope that the fall in unemployment is welcomed across the House.

The vast majority of doctors and nurses working in the NHS perform to a very high standard day in, day out, but everyone in the country will be worried that some hospitals are letting people down. Sir Bruce Keogh’s excellent and important report found

“frequent examples of inadequate numbers of nursing staff”.

Will the Prime Minister tell the House what he is doing to ensure that there are adequate numbers of nurses in the health service?

First, let me agree with the right hon. Gentleman that the Keogh report is excellent. When there is a problem of relatively high mortality rates in some hospitals, it is right to hold an investigation to get to the truth, and then to take action to deal with the situation.

The right hon. Gentleman asks what steps we will take. We are putting £12.7 billion into the NHS and, over the course of the past year, we have seen an extra 900 nurses in our NHS, which backs up the 8,500 extra clinical staff in place since this Government came to office.

But the reality is that there are 4,000 fewer nurses than when the Prime Minister came to power. Nursing staff was one of the issues raised in Sir Bruce’s report, and that was also reflected in the Francis report with regard to benchmarks for nursing staff numbers. Given that there are 4,000 fewer nurses, will the Prime Minister say whether that is helping or hindering the process of sorting out the problems?

The right hon. Gentleman makes a link between the 11 hospitals that have been put into special measures and nursing numbers, but he might be interested in the figures. Eight of those 11 identified hospitals have more nurses today than in 2010. For instance, although Scunthorpe hospital is on that list of 11 hospitals, an extra 100 nurses are working there compared with three years ago. In addition, 10 of those 11 hospitals have higher numbers of clinical staff. The Francis report did not support mandatory nursing numbers, but let me say this: all well-run hospitals will have the right number of nurses, doctors and care assistants. One of the purposes of these reports is to ensure that hospitals are better run.

The reality is that the Prime Minister’s reforms are diverting money from patient care and that across the health service the number of nurses is falling. Let me turn to one of the biggest health problems the country faces: deaths from cancer. The Government planned legislation on plain cigarette packaging but changed their view after the Prime Minister hired Lynton Crosby, who also happens to work for big tobacco in the shape of Philip Morris. Are we really supposed to believe that is a coincidence?

First, it is clear that the right hon. Gentleman does not want to have a proper conversation about the health service and that he has not done his homework on nursing numbers. He asks about plain packaging for cigarettes. Let me be absolutely clear about this: the decision not to go ahead for the time being was made by me and the Health Secretary. If the right hon. Gentleman does not agree with that decision, he can attack me for making it. Funny enough, it is the same decision the previous Government made. I have here the letter that the former Labour Secretary of State for Health wrote to another Minister, the right hon. Member for Dulwich and West Norwood (Dame Tessa Jowell), explaining why he was not going ahead. He said this:

“No studies have shown that introducing plain packaging of tobacco products would cut the number of young people smoking… Given the impact that plain packaging would have… we would need strong and convincing evidence”

in order to go ahead. He did not go ahead. Let me summarise: if the Leader of the Opposition’s attack on me is that we are not doing something he decided not to do, I suggest a different line of questioning.

Once again the Prime Minister does not know his facts, because in February 2010 my right hon. Friend the Member for Leigh (Andy Burnham), in his tobacco strategy, set out quite clearly that he was in favour of plain cigarette packaging, and that quote is from before then. Here is the difference: my right hon. Friend moved to that position in February 2010; but the Prime Minister used to be in favour of plain cigarette packaging and then changed his mind. Can he now answer the question that he has not answered for weeks: has he ever had a conversation with Lynton Crosby about plain cigarette packaging?

I have answered the question: he has never lobbied me on anything. If the right hon. Gentleman wants a lobbying scandal, why does he not try the fact that the trade unions buy his policies, buy his candidates and even bought and paid for his leadership? That is a scandal, and he should do something about it.

The whole country will have heard the same weasel words that the Prime Minister is sticking to. He cannot deny that he had a conversation with Lynton Crosby about this issue. Even by the standards of this Prime Minister, this is a disgraceful episode. His own hon. Friend the Member for Totnes (Dr Wollaston) described it as

“A day of shame for this government.”

He is the Prime Minister for Benson and Hedge funds, and he knows it. Can he not see that there is a devastating conflict of interest between having a key adviser raking it in from big tobacco and then advising him not to go ahead with plain packaging?

All this on a day when this Government are doing something the Labour party never did for 13 years: publishing a lobbying Bill. Let us remember why we need a lobbying Bill. We had former Labour Ministers describing themselves as cabs for hire, Cabinet Ministers giving passports for favours and a Prime Minister questioned by the police over cash for honours. They are in no position to lecture anyone on standards in public life. Is it not remarkable that on a day of a massive fall in the claimant count, a fall in unemployment and a rise in employment the right hon. Gentleman has nothing to say, and is not this the reason: last year he said that

“next year, unemployment will get worse, not better, under his policies. Nothing that he can say can deny that”—[Official Report, 18 January 2012; Vol. 538, c. 739.]?

Is it not time he withdrew that and admitted he was wrong?

The reality the Prime Minister cannot admit is that against the advice of every major public health organisation he has caved in to big tobacco. That is the reality about this Prime Minister and he knows it. It is Andy Coulson all over again. He is a Prime Minister who does not think the rules apply to him. Dinners for donors, Andy Coulson, and now big tobacco in Downing street—he always stands up for the wrong people.

The reason the right hon. Gentleman’s leadership is in crisis is that he cannot talk about the big issues. We are getting to the end of a political session when the deficit is down, unemployment is falling, crime is down, welfare is capped, and Abu Qatada is back in Jordan. Every day this country is getting stronger and every day he is getting weaker.

I know that the Prime Minister will want to thank all the fantastic NHS staff who are rolling up their sleeves and doing everything they can to reduce avoidable early deaths. They are asking the Prime Minister for minimum unit pricing in order to help them do their job and stop people falling into addiction in the first place. Minimum pricing is sitting nervously on death row. Will the Prime Minister give it a reprieve, at least until we know the outcome from the Sheffield report and the Scottish courts?

First of all, let me say that my hon. Friend fights a strong and noble campaign on this issue that she cares a huge amount about, and I respect that. What we are able to do—[Interruption.]

Order. The question has been asked; let us hear the answer.

We will be able to introduce something that the last Government never did, which is to say that it should be illegal to sell alcohol below the price of duty plus VAT. That is something, with all the binge-drinking problems we had under Labour, that they never managed to do.

Q2. In February I asked the Prime Minister if he thought it was fair that Mr and Mrs Goodwin, both of whom are registered blind, should pay the bedroom tax. He promised to look into the case. Mr and Mrs Goodwin’s family wrote to the Prime Minister but did not receive a reply. Why does he not keep his word? (165610)

I will look urgently at this case, because I reply to hon. Members’ correspondence right across the House, and I always will. We have put in place very fair rules on the spare room subsidy, whereby it does not affect pensioners and does not affect people who need to have that spare room. Perhaps when I do write back there is one question I will not be able to answer, which is that we still do not know whether Labour is going to replace this, because they will not give us an answer.

Q3. Will the Prime Minister assure me that while Labour Members are in Blackpool this summer on their Unite beach towels his Government, free both from weak leadership and from Len McCluskey, will not put into law welfare benefits as a human right? (165611)

My hon. Friend makes a good point, because last week there was a rare piece of candour from Labour Members. They now have a welfare reform they are in favour of: they want to make welfare a human right. That is the policy of the Labour party. They opposed the welfare cap, they opposed the reforms to housing benefit, they opposed getting the deficit down, and now they want to make it a human right to give people benefits.

Will the Prime Minister—[Interruption.]

Order. Let us have some order. Mr Campbell must be heard.

Thank you, Mr Speaker.

Will the Prime Minister join me in wishing a speedy recovery to my right hon. Friend the Member for Belfast North (Mr Dodds), who was injured when seeking to resolve problems in his constituency during the recent unacceptable disturbances? Will he also join with many in Northern Ireland who want to see the initiative headed up by Dr Richard Haass from the United States of America, which will require considerable effort and good will to resolve all the outstanding parading issues, which have been plagued by violent opposition for far too long?

Everyone across the House will have been very concerned to hear the news about the right hon. Member for Belfast North (Mr Dodds) being knocked unconscious at the protests in his constituency. Everyone wishes him well and I gather he is now improving. We look forward to welcoming him back to this House.

On the issue, it is very important that we see responsibility on all sides in Northern Ireland and that we take steps, as the hon. Member for East Londonderry (Mr Campbell) suggests, to make sure that these marches can go ahead in a way that respects the fact that communities must be good neighbours to each other. That is what is required in Northern Ireland and I know my right hon. Friend the Secretary of State will help in any way she can.