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Volume 584: debated on Wednesday 9 July 2014

I am sure that the whole House will want to join me in paying tribute to all who have been involved in the start of the Tour de France in Britain, from the event organisers to all the great cyclists I think that the event has showcased the best of Yorkshire and the whole of what Britain has to offer. I was delighted to see such incredible support throughout the race.

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

I join the Prime Minister in welcoming the news that he has just relayed.

The Equality Commission for Northern Ireland is threatening legal action against a family-owned bakery because it would not print a political message on a cake. The requested message was completely at variance with the company’s Christian values. Does the Prime Minister agree that so-called equality is now being viewed by many as an oppressive threat to religious freedom, and that such freedoms should be protected by the introduction of a conscience clause?

I was not aware of the specific case that the hon. Gentleman has raised, and I will of course go away and have a look at it. However, I think that a commitment to equality—whether we are talking about racial equality, equality between those of different sexes, equality in terms of people who have disabilities, or, indeed, tolerance of and equality for people with different sexualities—is a very important part of being British.

Will the Prime Minister welcome the President, MPs and choir of the German Parliament, who have come to sing in a joint concert with our parliamentary choir in Westminster Hall tonight to commemorate the centenary of the first world war and the tercentenary of the Hanoverian monarchy?

I am very happy to join my right hon. Friend in welcoming the German choir. I suspect that, after last night’s result, they will be in rather good voice.

On a serious note, let me say that we properly commemorate the outbreak of the first world war, the key battles of the first world war and, of course, Armistice day as we approach these vital 100th anniversaries. I am absolutely determined that, in Britain, we will mark them in appropriate ways. There will be a service in Glasgow, followed by a number of different events. I think it very important that we learn the lessons of that conflict, and commemorate those who fell.

I join the Prime Minister in paying tribute to the way in which the organisers, the cyclists and the millions of fans made the Tour de France such a brilliant success for Britain. I was proud to be watching it on the streets, as I know he was. I was in Leeds with the hundreds of thousands of people who were lining the streets.

All of us have been horrified by the instances of child abuse that have been uncovered, and the further allegations that have been made. All the victims of child abuse are not just owed justice, but owed an apology for the fact that it took so long for their cries to be heard. Does the Prime Minister agree that all inquiries, including those conducted by the police and those that he has set up, must go wherever the evidence leads them—in whatever institution in the country, including our own—to get at what happened?

I absolutely agree with the right hon. Gentleman. Child abuse is a despicable crime, and the victims live with the horror for the rest of their lives. It is absolutely essential that—in the two inquiries announced by the Home Secretary, and, indeed, in the vital police inquiries that are being carried out—no stone is left unturned.

The horror of the Jimmy Savile and Rolf Harris cases just shows what people were able to get away with. It was almost that on occasion they were committing crimes in plain sight, and it took far too long to get to the bottom of what happened and for justice to be done, and that is absolutely what this Government are committed to achieving.

On the issue of the 114 missing files at the Home Office, can the Prime Minister clarify when Ministers were first informed about this and what action they took? Does he agree that the review by Peter Wanless cannot be simply a review into the original review, but must seek to discover what happened to the files, who knew what about the files, and whether information was covered up, and that the Wanless review must also have full investigative powers?

It was a parliamentary question last October that revealed the points about the 2013 inquiry, but what I would say to the right hon. Gentleman is that it is absolutely vital that Peter Wanless, who has an excellent record in this regard and will carry out the review in absolutely the right way, has all the powers he needs. Let us be absolutely clear: if he wants more powers, and if that inquiry wants greater powers and ability, they can absolutely ask for it. As the right hon. Gentleman says, the inquiry must go exactly where the evidence leads. We are determined to get to the bottom of what happened.

I agree that the most important thing is to clarify what actually happened to the files and why they went missing. I welcome the overarching inquiry that has also been set up by the Home Secretary. Can the Prime Minister say more about the terms of reference of that inquiry? Will he consider the very sensible recommendations made today by Peter Wanless around making the covering up of abuse a criminal offence and ensuring that there is an obligation on institutions to report abuse where it occurs?

Taking the right hon. Gentleman’s second point first: should we change the law so that there is a requirement to report and make it a criminal offence not to report? The Government are currently looking at that, and both reviews will be able to examine that point and advise us accordingly. I think it may well be time to take that sort of first step forward.

On the issue of the terms of reference of the wider lessons learned review, we are discussing those at the moment; we are very happy to take suggestions from other parties in this House. A number of inquiries are being carried out into specific hospitals, including the Savile inquiries; there is the inquiry taking place within the BBC; and there other inquiries, including into Welsh children’s homes. The main aim and what is vital, as I have said before, is that the Government learn all the lessons of this review. Where the Elizabeth Butler-Sloss review can really help is by having a panel of experts who can advise us about all the things that need to change in all these institutions—for instance the Church; for instance the BBC; for instance the NHS; but also, if necessary, in this place and in Government, too.

I welcome what the Prime Minister said and clearly cultural change in this is absolutely crucial in all institutions.

I want to turn to another matter: the health service. Last week the Prime Minister said that waiting times in accident and emergency had gone down, but within 24 hours the House of Commons Library had called him out. Average A and E waiting times have gone up. Will he now correct the record?

What I said last week at Prime Minister’s questions is absolutely right, and if the right hon. Gentleman goes on the website of the organisation I quoted from he will see that. Also, if you remember, Mr Speaker, at the end of Prime Minister’s questions there were some points of order and I said very specifically that

“the numbers waiting longer than 18, 26 and 52 weeks to start treatment are lower than they were at any time under the last Government.”—[Official Report, 2 July 2014; Vol. 583, c. 893.]

That was directly contradicted by the shadow Health Secretary, and I just want to give the figures to the House now so people can see that I got my facts right.

So, in April 2010 there were 217,000 people waiting over 18 weeks; it is now 186,000—lower. In March 2010 there were 92,000 people waiting 26 weeks for treatment; it is now 59,000—lower. And in terms of waiting 52 weeks —52 weeks!—for treatment, in April 2010 there were 21,000 people waiting that long; the figure now is 510—lower.

It is very obvious that the Prime Minister does not want to talk about what he said on accident and emergency, where the House of Commons called him out. [Interruption.] Let us go to the common-sense definition of what a waiting time—[Interruption.]

Order. As always, it does not matter how long it takes; the question will be heard, so the braying and the yelling and the calculated heckling might as well cease, as we are just going to keep going for as long as is necessary.

Let us go to the common-sense definition of a waiting time in A and E. It is not how long someone waits to be assessed; it is the time between arriving at the A and E and leaving it. The number of people waiting more than four hours is at its highest level in a decade. Why does the Prime Minister not just admit the truth, which everybody in the country knows? People are waiting longer in A and E.

The figures I gave last week are absolutely correct, and they are published by the Health & Social Care Information Centre: the average waiting time was 77 minutes when the shadow Health Secretary was Health Secretary and it is now 30 minutes. The fact is that we can trade statistics across the Floor of the House, but I am absolutely clear that the health service is getting better. There is a reason why it is getting better: we took two big strategic decisions. We said let us put more money into the NHS—the Opposition said that was irresponsible; and we said cut the bureaucracy in the NHS, which they wanted to keep. That is why there are 7,000 more doctors and 4,000 more nurses, and why the Leader of the Opposition has made a massive mistake by keeping a failing Health Secretary as the shadow health spokesman.

I would far rather have the shadow Health Secretary than the Government’s Health Secretary any day of the week. I will tell the Prime Minister what has happened in the health service. We had a top-down reorganisation that nobody wanted and nobody voted for, and it has diverted billions of pounds away from patient care. The contrast we see is between the complacent claims of the Prime Minister and people’s everyday experience. People are spending longer in A and E, and hospital A and Es have missed their four-hour target for the last 50 weeks in a row. While he tries to pretend things are getting better, patients, NHS staff and the public can see it getting worse right before their eyes.

The right hon. Gentleman still has to defend the man who presided over the Mid Staffs disgrace, where standards of patient care were so bad that patients were drinking out of dirty vases because of standards in Labour’s NHS. The point is this: the reason we have been able to cut bureaucracy and the reason we have been able to put more money into the NHS is that we have taken difficult decisions, including having a 1% pay cap in the NHS. Of course, Labour said it would support that, but this week it has decided that it will back strikes instead. I have here the Labour briefing on strikes, which says, “Do we support strikes? No. Will we condemn strikes? No.” There we have it: that is his leadership summed up in one go. Have the Opposition got a plan for the NHS? No. Have they got a plan for our economy? No. Is he remotely up to the job? No.

Is the Prime Minister aware that British Airways is to cease the link between Aberdeen and London City in favour of increased services to the already well served airports of Glasgow, Edinburgh and Dublin? Will he support the campaign to maintain the link, which is vital to the vibrant business economy of the north of Scotland?

I am very happy to look into that issue with the right hon. Gentleman. It is an absolutely vital service, particularly given how strongly the economy in north-east Scotland is performing, with North sea oil and gas.

Q2. Tomorrow, I will be in Carmarthen with striking teachers, nurses and firefighters—the backbone of local communities. Are the Prime Minister’s reported plans to ban public sector workers from withdrawing their labour not just a cynical attempt to silence opposition to his policies? (904734)

I am very clear that I do not think these strikes are right, I condemn them and I think that people should turn up for work. It is a pity we do not have so much clarity on that issue from the Labour party or, indeed, from the hon. Gentleman’s party. Let me give one example. The National Union of Teachers is proposing a strike based on a ballot it had almost two years ago, on a very small turnout of its members. Really, is it right to continue with this situation when the education of so many children is going to be so badly disrupted?

Speaking from the Opposition Back Benches on 9 December 2002, the Prime Minister said:

“I find the European arrest warrant highly objectionable”—[Official Report, 9 December 2002; Vol. 396, c. 107.]

and my right hon. Friend voted accordingly. I still think the European arrest warrant is highly objectionable. Does the Prime Minister?

We have made a series of changes to the European arrest warrant so that we do not have the problem of people being arrested, for instance, for things that are not a crime in this country. But the question we all have to ask ourselves is, having achieved this vast opt-out from Justice and Home Affairs, which is the biggest return of power from Brussels to Britain, what are those few things that we go back into in order to fight crime and terrorism? On this I think the judgment of the Home Secretary and the Justice Secretary has been absolutely right.

Q3. The head of the civil service says that the business case for universal credit has not been signed off. The Department for Work and Pensions says it has. Who is telling the truth? (904735)

The budget for universal credit has been signed off in each and every year by the Treasury and I believe it will continue to do so. The good news on universal credit is that next year we will have one in eight jobcentres rolling out universal credit. I thought we would find that the Opposition were in favour of a system that makes work pay, but we can see today that they have gone back into the hole of being against every single welfare change and everything that is getting this country moving.

The Safer Internet Centre estimates that up to 30 websites host UK online revenge pornography images, another form of sexual abuse. Does the Prime Minister agree that posting such material must be recognised for what it is—a criminal sexual offence against its victims?

My right hon. Friend is right. This is an appalling offence and a dreadful thing for someone to do, and it clearly has criminal intent. I am very glad that she is championing this cause, and I hope that having looked in detail at the amendments she is suggesting, we can take up this cause. Part of what she achieved in government—the very good work that she did in office—is making sure that we do far more to deal with porn and internet porn.

Q4. If the business case for the right hon. Gentleman’s universal credit proposals is robust, why is the head of the home civil service saying that he has not signed it off? (904736)

What has happened is that universal credit has been signed off in each and every year by the Treasury. I make no apology for the fact that we are rolling it out slowly. We have learned the lesson of the previous Government, in which the right hon. Gentleman played a prominent part, where tax credits were introduced in one go and were a complete shambles.

Q5. North West Air Ambulance has three helicopters and has flown thousands of missions since 1999, one of which saved the life of a friend of mine after an horrific car crash on the M6. The service costs £4.2 million a year to run. There are 27 such air services throughout the whole of the United Kingdom, and one of them may soon become a royal air ambulance service. Will my right hon. Friend pay tribute to those who man the helicopters, saving lives throughout the country, and heap praise on the thousands of people who raise funds every week on wet street corners throughout the United Kingdom to ensure that the helicopters carry on flying and saving lives? (904737)

My hon. Friend is right. Our air ambulances provide an invaluable service and we should all pay tribute to the men and women who staff and support them, who often have to undertake very difficult landings and take-offs in order to rescue and get people to hospitals. It is right that up and down the country people are giving charitably in order to fund these vital services.

I am sure the Prime Minister will agree that dealing with terrorism and violence, and a commitment to exclusively peaceful and democratic means were fundamental in moving Northern Ireland forward and in taking us from where we were to where we are today. Does he agree that in the Northern Ireland of 2014 republican threats of violence for political gain must not only be deplored, but everyone in government, in governmental bodies in Northern Ireland and in the community must stand up against such threats and commit themselves to fundamental freedoms, upholding democracy and the rule of law?

All threats of violence in Northern Ireland are unacceptable and should be condemned on all sides. I am very clear about that. What I hope we can achieve in the coming weeks—it will take compromise and brave decisions on all sides—is to get the Haass talks process ongoing again, with commitments from the right hon. Gentleman’s party, as well as from the Ulster Unionist party and from Sinn Fein and the SDLP, to sit down and discuss these things so that we can make some progress. My fear is that if we do not make progress on these issues, we leave space open for extremists on all sides of the debate to start pushing their ideas, which would be deeply unhelpful for the future of Northern Ireland.

Q6. The long-term economic plan is working in my High Peak constituency. Unemployment is down a third in the past year. Summer approaches, and, as tourism supports so many jobs in the local economy, I am walking the boundary of my constituency to promote the area. I invite my right hon. Friend to consider joining me in August for part of the walk. As well as promoting High Peak, I will be raising money for High Peak Women’s Aid, which is a fantastic charity based in Glossop that operates across the whole of the High Peak. (904738)

I wish my hon. Friend well. He makes an enticing invitation. I am a big fan of the Peak district and what it has to offer and its very beautiful countryside. It is notable that in his constituency, the claimant count has fallen by 42% since the election, and the youth claimant count has come down by 39% in the past year. What we are seeing is an economic revival, and we need to stick to our plans to get the deficit down, help people with tax cuts, make it easier for firms to employ people, produce the schools and skills that we need and reform our welfare and immigration system. That is the plan that we will stick to, and it is the plan that is delivering for High Peak.

On GP appointments, a 62-year-old man in Eccles, who is a carer for his wife who has Alzheimer’s, sought an urgent GP appointment for her. He was told that it would be five weeks to see her GP, two weeks to see any GP, or he could take her to Salford Royal A and E. If that is the way that the NHS treats a carer of a person with dementia, does the Prime Minister not agree that it is time to support Labour’s plan to give such patients a right to a GP appointment within 48 hours?

There are 1,000 more GPs today than there were when I became Prime Minister. What we are doing is reintroducing the named GP for frail elderly people, which Labour got rid of. That is one reason, combined with the disastrous GP contract that Labour introduced, why there is so much pressure on our accident and emergency system. We need to learn from the mistakes that Labour made rather than repeat them.

Q7. Is the Prime Minister aware that 16 to 18-year-olds in Northumberland who may live 50 miles from a further education college or 20 miles from a high school are facing charges ranging from £600 a year to several thousand pounds a year to get an education, because the Labour-controlled council has reversed the support given by the previous Liberal Democrat administration? Will he deplore that decision and see what central Government can do to promote fair access to education? (904739)

My right hon. Friend makes an important point. As he knows, responsibility for transport for education and training rests with local authorities. Clearly, this local authority, now controlled by Labour, has made this decision. Of course we have introduced the £180 million bursary fund to support the most disadvantaged young people and perhaps that is something that his council and these families could make the most of. I certainly join him in agreeing that this is another example of the fact that Labour costs us more.

Q8. It is estimated that each day 179 British girls are at risk of being subjected to female genital mutilation, joining a total of 170,000 in the United Kingdom who have been cut. Next week, the Prime Minister hosts a summit on this issue. Does he agree that FGM is not cultural; it is criminal. It is not tribal; it is torture. Will he please read the report of the Select Committee, which is published next Thursday, and implement it in full so that we can eradicate this horrendous abuse from our country? (904740)

I commend the right hon. Gentleman on the work that the Home Affairs Committee has done on that issue. He is absolutely right that this is a brutal and appalling practice that should have no place in the world, and certainly no place here in Britain and it is appalling that people living in our country are being subjected to it. I will study the report closely. The whole aim of the conference, which I am keen on us holding, is to ensure that the two practices of early forced marriage and female genital mutilation are wiped out from our planet.

Q9. Does my right hon. Friend accept that it would be totally unacceptable to have a statutory limitation on overseas aid without having a similar statutory provision covering defence expenditure to guarantee our NATO commitments? (904741)

We are in the happy position in this country of meeting the 2% spending on defence that NATO members are meant to undertake. When we hold the NATO conference in Wales in September we should be encouraging other countries to do the same and, indeed, to meet some of the new targets for spending on new equipment that can be used in NATO operations, which we certainly meet in this country. As well as doing that, we can also be proud of the fact that we are meeting the promise that we made of spending 0.7% on overseas aid, which is saving lives all over the world. I would not divorce that from our defence spending, because the money that we spend in places such as Somalia, Mali, Nigeria or, indeed, Pakistan is about reducing the pressures of asylum, immigration and terrorism, making our world safer. That is what our defence budget should be about, and I would argue that it is what our aid budget is about, as well.

Does the Prime Minister agree that with conditions such as rheumatoid arthritis, patients can be out of work for years if they do not get the right treatment? The National Institute for Health and Care Excellence should therefore look at the wider benefits rather than just the initial cost of that treatment.

I agree with the hon. Lady. My understanding is that NICE does carry out that work, but I will look very closely at the particular condition that she raises and perhaps write to her about NICE’s approach to it.

Q10. Businesses across Lincolnshire report growing confidence and lengthy order books, highly skilled workers benefiting from the tax cuts that the Government have introduced and hard-working apprentices enjoying the sorts of opportunities that they could not have had just a few years ago. Does the Prime Minister share my assessment that the shadow Chancellor’s plans for borrowing yet more money while heaping tax on British businesses and making it more expensive for employers to hire young people are no more and no less than a long-term economic scam? (904742)

My hon. and learned Friend is absolutely right. We have to stick to the plan, which involves training young people. We are on track to hit 2 million apprentices trained under this Government, but the very worst thing to do would be to start spending, borrowing and taxing more, which are exactly the proposals made by the Opposition.

Q11. Will the Prime Minister explain to the House why it is that the only people who feel that there are no problems in the national health service are members of the Conservative party? (904743)

Every single health system right across the developed world is facing huge challenges and pressures. The pressures of an ageing population, the pressures of new drugs and treatments coming on stream and the pressures of children surviving with conditions that will need to be treated throughout their lives. The question is how we respond to those pressures. Our response has been to fund the health service and protect it from cuts, and to reform the health service, getting rid of £5 billion of bureaucracy so that there are more doctors and more nurses. The figures speak for themselves, because we can see more people being treated. One million more people are being treated every year in accident and emergency, and 40 million more people are getting GP appointments, but that is only because we have taken the difficult decisions that, frankly, Labour has not taken in Wales. That is why in Wales we see longer waiting lists and real problems with the NHS.

If my hon. Friend is referring to the situation that took place in the Welsh Assembly, which I was reading about overnight, it seems to be a very worrying development. If he is referring to something else, he might have to be a bit less delphic about it and write to me, and I will get back to him.

Q12. Will the Prime Minister look into the case of a young mum in my constituency who has a significant spinal injury that has left her unable to walk? Her GP has referred her for an urgent appointment with a neurosurgeon, so could the Prime Minister explain to her, and the whole country, why “urgent” on his watch means a four-week wait lying in pain? (904744)

I will absolutely look at the case that the hon. Gentleman raises. I am always happy to look at individual cases, but the figures I quoted earlier were to demonstrate that the numbers of people waiting 18 weeks, 26 weeks or, indeed, 52 weeks, are not just lower now than when the Government came to office but are lower now than at any time under the last Labour Government. I am very happy to look at the individual case he mentions.

Is the Prime Minister aware that since 2012, when he promised to increase patient access to innovative radiotherapy, particularly for cancer patients, the number of cancers treated by radiotherapy in some hospitals has actually decreased by 70% and state-of-the-art machines are lying idle because NHS England will not allow doctors to use them? Will he meet me and other cancer cure campaigners, such as Lawrence Dallaglio, to discuss this scandal before more patients are refused treatment?

I read the report that Lawrence Dallaglio referred to over the weekend and am very happy to meet the hon. Lady, and indeed him, to discuss this. We have introduced the cancer drugs fund, which is not only for drugs, but for innovative treatment. I know that there have also been changes in the way radiotherapy is carried out and in the way the new technology is being used, which might be part of the explanation for the figures she gives, but I am very happy to discuss them in more detail.

Q13. Jobs Growth Wales has been hugely successful in tackling youth unemployment, outperforming similar schemes across the United Kingdom. Will the Prime Minister therefore join me in congratulating Welsh businesses and enterprises, the Welsh Government, and indeed the young people of Wales, who have made it a success? In doing so, he can end his agenda of attacking Wales at every opportunity. Who knows? He might even get a welcome in the hillside. (904745)

I want to do everything I can to support economic recovery in Wales. That is why, for instance, I think that in September, when the NATO conference comes to Wales—entirely an initiative launched by me—there will be a very strong welcome in the valleys. That will be the first time a serving American President has ever been to Wales, so I am looking forward to it. We are doing everything we can to help businesses in Wales to employ more people and grow the economy.