The west midlands economy, I have to say, is in a very positive position at the moment. I am very pleased to say that since 2010 nearly 200,000 more people are at work there, and there are 42,000 new businesses. I saw the strength of the economy when I was in Birmingham last week. Of course, we are giving the west midlands new powers with the devolution deal and the election of a Mayor. Andy Street, with his business and local experience, would be a very good Mayor for the west midlands.
On the subject of the NHS, 18 months ago my wonderful doctor, Helen Stokes-Lampard, suggested that I have a general “well man” check-up. It is just as well that I did: the blood test revealed a problem with my prostate, despite the fact that I was symptom-free. I was immediately referred to the Queen Elizabeth hospital in Birmingham, whose staff were simply wonderful. After a period of surveillance, I had a prostatectomy back in June.
But hey—I’m now fine! [Hon. Members: “Hooray!”] I want to thank the whole team at the QE, including my surgeon Alan Doherty and my excellent specialist prostate nurse Richard Gledhill, who gave me practical advice. But, in the next 10 years, there will be a real shortage of specialist prostate and urology nurses, as many are due for retirement. May I ask the Prime Minister what the Government can do to avert a shortage of these much needed specialist nurses?
May I say to my hon. Friend that the whole House is pleased to see him back in his position as his normal exuberant self? He raises a very serious issue. I join him in commending not only those doctors, nurses and other health service staff who treated him for his prostate cancer, but those doctors and nurses who, day in, day out, are ensuring that, as we see, cancer survival rates are at a record high.
The Government are putting more money into awareness of cancer problems. We will look at the training of nurses—50,000 nurses are in training—and continue to make sure that the specialisms are available to do the work that is necessary in the health service.
I, too, join the Prime Minister in wishing the hon. Member for Lichfield (Michael Fabricant) well and obviously hope the treatment he got is the same treatment that everybody else gets, because we want good treatment for everybody in our society. [Interruption.] It is not controversial—I am just wishing him well. Is that okay? I am sorry to start on such a controversial note, Mr Speaker. I do apologise.
At the Conservative party conference, the Prime Minister said she wants Britain to be
“a country where it doesn’t matter where you were born”,
but the Home Secretary’s flagship announcement was to name and shame companies that employ foreign workers. Could the Prime Minister explain why where someone was born clearly does matter to members of her Cabinet?
First, may I congratulate the right hon. Gentleman on winning the Labour leadership election? [Interruption.] I welcome him back to his place in this House as his normal self. The policy that he has just described was never the policy that the Home Secretary announced. There was no naming and shaming, no published list of foreign workers, no published data. What we are going to consult on is whether we should bring ourselves in line with countries such as the United States of America, which collect data in order to be able to ensure that they are getting the right skills training for workers in their economy.
I am most grateful to the over 300,000 people that voted for me to become the leader of my party, which is rather more than voted for the Prime Minister to become the leader of her party. She seems to be slightly unaware of what is going on: first, the Home Secretary briefed that companies would be named and shamed; the Education Secretary clarified that data would only be kept by Government; yesterday, No. 10 said the proposal was for consultation; and the Home Secretary clarified the whole matter by saying,
“it’s one of the tools we are going to use”.
This Government have no answers, just gimmicks and scapegoats.
Yesterday, we learned that pregnant women will be forced to hand over their passports at NHS hospitals. No ultrasound without photographic ID—heavily pregnant women sent home on icy roads to get a passport. Are these really the actions of
“a country where it doesn’t matter where you were born”?
I have made absolutely clear the policy that the Home Secretary set out. The right hon. Gentleman raises issues around the health service. I think it is right that we should say that we ensure, when we are providing health services to people, that they are free at the point of delivery; that people are eligible to have those services; that where there are people who come to this country to use our health service, and who should be paying for it, the health service actually identifies them and makes sure that it gets the money from them. I would have thought that that would be an uncontroversial view. Of course, emergency care will be provided, when necessary, absolutely without those questions, but what is important is that we ensure that where people should be paying, because they do not have the right to access free care in the health service, they do so.
Some of the Prime Minister’s colleagues on the leave side promised £350 million a week extra for the NHS. She does not seem to have answers to the big questions facing Britain. On Monday, the Secretary for Brexit, when questioned about the Government’s approach to single market access, replied:
“We…need hard data about the size of the problem in terms of both money and jobs”—[Official Report, 10 October 2016; Vol. 615, c. 50.]
It would have been much easier if he had simply asked his colleague, the Chancellor of the Exchequer, because he would have been able to tell him that the Treasury forecast is a £66 billion loss to the economy—7.5% of the GDP. Can the Prime Minister now confirm that access to the single market is a red line for the Government, or is it not?
The right hon. Gentleman has asked me this question before. [Interruption.]. He says it is a simple question, and I will give him the simple answer: what we are going to do is deliver on the vote of the British people to leave the European Union; what we are going to do is be ambitious in our negotiations, to negotiate the best deal for the British people, and that will include the maximum possible access to the European market, for firms to trade with, and operate within, the European market. But I am also clear that the vote of the British people said that we should control the movement of people from the EU into the UK, and, unlike the right hon. Gentleman, we believe we should deliver on what the British people want.
Someone once said that in leaving the single market
“we risk a loss of investors and businesses…and we risk going backwards when it comes to international trade.”
That person is now the Prime Minister, and that was before the referendum.
The Japanese Government wrote to the Prime Minister in September, worried about a shambolic Brexit. Many Japanese companies are major investors in Britain—such as Nissan in Sunderland, which has already halted its investment—and 140,000 people in Britain work for Japanese-owned companies. They have made it clear that those jobs and that investment depend on single market access. What reassurance can she give workers today, desperately worried about their future, their company and their jobs?
First, I would say to the right hon. Gentleman that the biggest vote of confidence that we had in Britain after the referendum vote was the £24 billion investment from a Japanese company, SoftBank, in taking over Arm. Secondly, in relation to what we are doing in our negotiations, he does not seem to get what the future is going to be about. The UK will be leaving the European Union. We are not asking ourselves what bits of membership we want to retain. We are saying: what is the right relationship for the UK to have for the maximum benefit of our economy and of the citizens of this country?
The right hon. Member for Broxtowe (Anna Soubry) has said that
“there is a danger that this Government appear to be turning their back on the single market”.—[Official Report, 10 October 2016; Vol. 615, c. 46.]
Staying in the single market was, indeed, a commitment in the Conservative party manifesto. The reality is that, since the Brexit vote, the trade deficit is widening, growth forecasts have been downgraded, the value of the pound is down 16%, and an alliance of the British Chambers of Commerce, the Confederation of British Industry, the British Retail Consortium and the Trades Union Congress have all made representations to the Prime Minister demanding clarity. Is the Prime Minister really willing to risk a shambolic Tory Brexit just to appease the people behind her?
What the Conservative party committed to in its manifesto was to give the British people a referendum on whether to stay in the European Union. We gave the British people that vote, and they have given their decision: we will be leaving the European Union. In doing that, we will negotiate the right deal for the UK, which means the right deal in terms of operating within and trading with the European market. That is what matters to companies here in the UK, and that is what we are going to be ambitious about delivering.
The right hon. and learned Member for Rushcliffe (Mr Clarke) often has a mot juste to help us in these debates. He simply said—[Interruption.]
Order. I want to hear about the right hon. and learned Member for Rushcliffe.
In his own inimitable way, the right hon. and learned Gentleman said:
“The reason the pound keeps zooming south is that absolutely nobody has the faintest idea what exactly we’re going to put in place.”
Those of us on the Labour Benches do respect the decision of the British people to leave the European Union, but this is a Government that drew up no plans for Brexit; that now has no strategy for negotiating Brexit; and that offers no clarity, no transparency and no chance of scrutiny of the process for developing a strategy. The jobs and incomes of millions of our people are at stake. The pound is plummeting, business is worrying and the Government have no answers. The Prime Minister says she will not give a running commentary, but is it not time the Government stopped running away from the looming threat to jobs and businesses in this country and to the living standards of millions of people?
Unlike the right hon. Gentleman, I am optimistic about the prospects of this country once we leave the European Union; I am optimistic about the trade deals that other countries are now actively coming to us to say they want to make with the United Kingdom; and I am optimistic about how we will be able to ensure that our economy grows outside the European Union. But I have to say to the right hon. Gentleman that Labour did not want a referendum on this issue—we, the Conservatives, gave the British people a referendum; and Labour did not like the result—we are listening to the British people and delivering on that result. [Interruption.] The shadow Foreign Secretary is shouting from a sedentary position. The shadow Foreign Secretary wants a second vote. I have to say to her that I would have thought Labour MPs would have learned this lesson: you can ask the same question again; you still get the answer you don’t want.