Parliamentary Search

Opposition day on Wednesday, 23 April 2008, in the House of Commons, led by Lord Lansley. The answering member was Alan Johnson.

Family Doctor Services

Family doctor services. Tenth Opposition day debate (part 1). Motion negatived on division (306 votes to 211). Amendment agreed to on question.

Secondary information

Type
Parliamentary proceeding
Reference
474 c1314-75 
Session
2007-08
Department
Department of Health
Chamber / Committee
House of Commons chamber
Proceeding contributions
Lord Lansley | 474 c1317-8 (Link to this contribution) The hon. Gentleman has not been listening carefully, and he cannot have read the speech by my right ...
Sandra Gidley | 474 c1318 (Link to this contribution) The hon. Gentleman seems to regard GPs as being at the centre of the infrastructure. How can we ensu...
Show all contributions (140)
Rob Marris | 474 c1317 (Link to this contribution) I caution the hon. Gentleman to go a little further down the line of variation around the country. W...
Lord Lansley | 474 c1319 (Link to this contribution) My hon. Friend has had plenty of experience of that in Wiltshire.
James Gray | 474 c1319 (Link to this contribution) I am most grateful to my hon. Friend for giving way; he is being very generous. What he describes ha...
Lord Lansley | 474 c1318-9 (Link to this contribution) Last October, we published our document, ““The patient will see you now doctor””, which the hon. Lad...
Lord Lansley | 474 c1319-20 (Link to this contribution) That is interesting. I understand exactly what my hon. Friend has said. If there were a rationale be...
Lord Lansley | 474 c1314-5 (Link to this contribution) My hon. Friend is right. I have heard exactly that from GPs in his constituency, who fear that a pol...
Lord Jackson of Peterborough | 474 c1315 (Link to this contribution) Does my hon. Friend share my concern that the Government's proposals represent a national template t...
Lord Lansley | 474 c1315-6 (Link to this contribution) My hon. Friend raises an important point. In the course of the GP contract negotiations, the move to...
David Tredinnick | 474 c1316 (Link to this contribution) Does my hon. Friend agree that there is a danger that if patients do not have a named doctor—an indi...
Lord Lansley | 474 c1316 (Link to this contribution) My hon. Friend is right. In an article in the British Medical Journal on 22 March 2008, Martin Rolan...
Graham Stuart | 474 c1316 (Link to this contribution) My constituency is in a rural area outside of Hull, and it is rural areas that are particularly conc...
Tony Baldry | 474 c1317 (Link to this contribution) They are also losing their dispensaries. Is my hon. Friend aware that 8.5 million patients are in GP...
Lord Lansley | 474 c1316-7 (Link to this contribution) I agree with my hon. Friend. The impact on rural areas is one of the most significant and worrying a...
Lord Lansley | 474 c1317 (Link to this contribution) Yes, I am interested in what my hon. Friend says because in one particular respect the effect of the...
Robert Key | 474 c1314 (Link to this contribution) Does my hon. Friend agree that perhaps the single most popular feature of the national health servic...
Lord Lansley | 474 c1314 (Link to this contribution) I beg to move,"That this House supports the family doctor service, and recognises that it is the fir...
Speaker | 474 c1314 (Link to this contribution) We come to the main business, an Opposition day debate on family doctor services. I inform the House...
Lord Lansley | 474 c1320-1 (Link to this contribution) I am talking about contracts between GPs as commissioners and the whole range of health care provide...
Andrew George | 474 c1320 (Link to this contribution) The hon. Gentleman mentioned Cornwall, where there is concern that, as a result of the proposed pack...
Lord Lansley | 474 c1320 (Link to this contribution) I talked about Cornwall, so I shall give way to the hon. Member for St. Ives (Andrew George).
Lord Lansley | 474 c1322 (Link to this contribution) We know exactly who is to blame for that—the Government. To be fair to NHS employers and the NHS Con...
Andrew Murrison | 474 c1322 (Link to this contribution) The hon. Member for High Peak (Tom Levitt) cited the NAO and the NHS Confederation report, and he qu...
Lord Lansley | 474 c1321-2 (Link to this contribution) The NHS Confederation is ““independent””, is it? It is the body that negotiated the contract and is ...
Tom Levitt | 474 c1321 (Link to this contribution) The hon. Gentleman may not have seen the briefing e-mailed in the past hour to Members by the NHS Co...
Howard Stoate | 474 c1362 (Link to this contribution) I am interested to hear the hon. Gentleman's examples and am sorry to hear about his cut leg and cra...
Peter Bone | 474 c1362 (Link to this contribution) That is exactly the feeling in my area. Despite the fact that we have one of the worst ratios of GPs...
Sandra Gidley | 474 c1362 (Link to this contribution) The hon. Gentleman raises an interesting point, because precisely that situation has arisen in many ...
Peter Bone | 474 c1361-2 (Link to this contribution) It is a great pleasure to follow the right hon. Member for Rother Valley (Mr. Barron), who is always...
Kevin Barron | 474 c1357-9 (Link to this contribution) I am no expert on the hon. Gentleman's constituency but, as was said earlier, and not by me, there i...
Kevin Barron | 474 c1360 (Link to this contribution) I do not know the detail of his QOF points, but the Select Committee will be looking at QOF points l...
Sandra Gidley | 474 c1359-60 (Link to this contribution) Is this the same gentleman who has one of the highest rates of exempted patients in the country when...
Mark Simmonds | 474 c1363-6 (Link to this contribution) Sadly, the Secretary of State is not in his place. Unusually for him, the issue has clearly rattled ...
Ben Bradshaw | 474 c1366-7 (Link to this contribution) We have had a good debate, and I will try in the time that is left to respond to some of the specifi...
Mark Simmonds | 474 c1362-3 (Link to this contribution) At times, the debate has been stimulating, and it has been interesting and necessary throughout. Man...
Ben Bradshaw | 474 c1367-8 (Link to this contribution) I will not, because I have only a few minutes to respond. The Opposition Front-Bench spokesman took ...
Ben Bradshaw | 474 c1368-9 (Link to this contribution) No I will not give way, I am afraid. The hon. Member for Peterborough (Mr. Jackson) suggests that e...
Speaker | 474 c1369 (Link to this contribution) Order. It is obvious that the Minister is not giving way. He must be heard.
Ben Bradshaw | 474 c1369-70 (Link to this contribution) The services are proving popular not only in London and Devon. In South Cambridgeshire, the constitu...
Ben Bradshaw | 474 c1369 (Link to this contribution) Some are families with young children, and some of them are pensioners, and they appreciate the exte...
David Leslie Taylor | 474 c1339 (Link to this contribution) Amid the usual slurry in the Opposition motion is one nugget of gold that is worthy of note: the ref...
Norman Lamb | 474 c1338-9 (Link to this contribution) It is a state of total confusion—[Interruption.] The hon. Member for Wolverhampton, South-West (Rob ...
Norman Lamb | 474 c1338 (Link to this contribution) I am encouraged to hear what the hon. Gentleman says—despite his very recent arrival in the Chamber,...
David Leslie Taylor | 474 c1339 (Link to this contribution) I am grateful to the hon. Gentleman for giving way for a second and, I hope, final time. Although t...
Norman Lamb | 474 c1339 (Link to this contribution) The hon. Gentleman makes a good point. I believe that policy should be based on evidence. The hon. G...
Norman Lamb | 474 c1337 (Link to this contribution) The hon. Gentleman makes a thoughtful intervention. There is, of course, the potential for conflict....
Howard Stoate | 474 c1337 (Link to this contribution) The hon. Gentleman is making an intelligent point, but I have to say that I disagree with him on a n...
Norman Lamb | 474 c1335-6 (Link to this contribution) Absolutely. All sorts of innovative things are being developed. In many practices, there is a commit...
Rob Marris | 474 c1336-7 (Link to this contribution) I am grateful to the hon. Gentleman for his thoughtful speech. I think that he puts his finger on a ...
Norman Lamb | 474 c1340 (Link to this contribution) I am grateful to the Conservative spokesman for that information. It is of some concern that the cha...
Mark Simmonds | 474 c1340 (Link to this contribution) Perhaps I could assist the hon. Gentleman. It was set out in a press release accompanying the Labour...
Norman Lamb | 474 c1341-2 (Link to this contribution) I entirely support that approach. As I said earlier, I should prefer a PCT that decided to adopt it ...
Rob Marris | 474 c1340-1 (Link to this contribution) The Phoenix centre—I do not know whether it is a medical centre or a health centre, but it is certai...
Nadine Dorries | 474 c1342-3 (Link to this contribution) I wish to start by paying tribute to GP Professor Dr. Brian McGuinness who retired this week as the ...
Norman Lamb | 474 c1339-40 (Link to this contribution) The hon. Gentleman makes another good point. I want to say more about the concept of the health cent...
Howard Stoate | 474 c1340 (Link to this contribution) I thank the hon. Gentleman for giving way to me again. He is being very generous with his time. Perh...
Norman Lamb | 474 c1340 (Link to this contribution) As my hon. Friend the Member for Southport (Dr. Pugh) observes from a sedentary position, everyone i...
Kevin Barron | 474 c1340 (Link to this contribution) Where does the hon. Gentleman get the evidence?
Norman Lamb | 474 c1340 (Link to this contribution) The NHS Confederation confirmed yesterday that every PCT had been so instructed, and we see the same...
Alan Johnson | 474 c1332 (Link to this contribution) That is a perfect example of why we should thank the Conservative party for allowing us to have this...
Neil Turner | 474 c1331-2 (Link to this contribution) May I tell the Secretary of State about a new health centre in Wigan called Boston house, which has ...
Alan Johnson | 474 c1331 (Link to this contribution) Bristol university has already conducted an assessment of walk-in centres. It said that they were go...
Lord Lansley | 474 c1331 (Link to this contribution) I am grateful to the Secretary of State for giving way. When we had a debate on the issue three and ...
Alan Johnson | 474 c1330-1 (Link to this contribution) Of course I can. Two central fallacies underpin the Tory party position. The first is that we are im...
Charles Walker | 474 c1330 (Link to this contribution) As the Secretary of State knows, I campaigned in my constituency for an urgent care centre as part o...
Alan Johnson | 474 c1330 (Link to this contribution) The Minister of State, Department of Health, my hon. Friend the Member for Exeter (Mr. Bradshaw), te...
Andrew Murrison | 474 c1330 (Link to this contribution) The Secretary of State began to discuss public engagement, and engagement with stakeholders is impor...
Alan Johnson | 474 c1329-30 (Link to this contribution) The hon. Gentleman says that it is useful to know. In the London context, we are considering includi...
Norman Lamb | 474 c1334-5 (Link to this contribution) My hon. Friend is absolutely right to highlight that. We should acknowledge, however, that measures ...
John Pugh | 474 c1334 (Link to this contribution) Is my hon. Friend aware that the NAO report states quite explicitly that there has been no productiv...
Sandra Gidley | 474 c1335 (Link to this contribution) I agree with my hon. Friend about the one-size-fits-all solution. One of my local surgeries deals wi...
Rob Marris | 474 c1333 (Link to this contribution) Will my right hon. Friend give way?
Alan Johnson | 474 c1332-3 (Link to this contribution) The common problem among those on the Conservative Benches is that they do not understand the differ...
Norman Lamb | 474 c1333-4 (Link to this contribution) This is an opportune time for us to discuss the Government's record and their plans for family docto...
Alan Johnson | 474 c1333 (Link to this contribution) No, I am coming to the end of my speech. Although the Conservative party professes to have joined u...
Alan Johnson | 474 c1332 (Link to this contribution) So says one of the architects of that petition. It is clear what the petition is about. I have heard...
Kevin Barron | 474 c1356-7 (Link to this contribution) The hon. Gentleman is not the first to cite that example. His better half, the hon. Member for Congl...
Graham Stuart | 474 c1357 (Link to this contribution) I know that the right hon. Gentleman shares my concern about provision in rural areas. There is, as ...
Kevin Barron | 474 c1355-6 (Link to this contribution) No, there has not; that is the true and honest answer to the question. Around the time of the last g...
Kevin Barron | 474 c1354-5 (Link to this contribution) I declare an interest: I am a lay member of the General Medical Council. First, I want to reply to a...
Nicholas Winterton | 474 c1356 (Link to this contribution) I am grateful to the current Chairman of the Health Committee, which I had the honour to chair in th...
Kevin Barron | 474 c1356 (Link to this contribution) I agree. The question posed in the motion, and asked by the hon. Member for South Cambridgeshire (Mr...
Howard Stoate | 474 c1356 (Link to this contribution) Perhaps I can help my right hon. Friend. The issue is not so much about the number of people who dem...
Lord Lansley | 474 c1345 (Link to this contribution) New technology offers other opportunities. Clearly, the hon. Member for Dartford (Dr. Stoate) might ...
Nadine Dorries | 474 c1345-6 (Link to this contribution) I know many GPs are capable of doing 12-lead ECGs and of reading the results themselves, because the...
Howard Stoate | 474 c1344-5 (Link to this contribution) I can help the hon. Lady on that point. One thing that polyclinics will do, for example, is to be op...
Nadine Dorries | 474 c1345 (Link to this contribution) The hon. Gentleman makes a number of points. The only reason that we see pressures on accident and e...
Nadine Dorries | 474 c1344 (Link to this contribution) My hon. Friend is absolutely right. The polyclinics will take off in the areas of higher social depr...
Lord Jackson of Peterborough | 474 c1344 (Link to this contribution) My hon. Friend is making a compelling case. Surely the logical corollary of her argument is that any...
Lord Lansley | 474 c1343 (Link to this contribution) For the sake of accuracy, I wish to point out that the NAO said that there had been a 58 per cent. i...
Nadine Dorries | 474 c1343 (Link to this contribution) I have absolutely no idea where that figure comes from. My GPs have had no pay rise for the past thr...
Kevin Barron | 474 c1343 (Link to this contribution) A recent report by the National Audit Office said that in real terms partnership GPs have had a 50 p...
Lord Jackson of Peterborough | 474 c1352-4 (Link to this contribution) I am grateful to my hon. Friend for making the pertinent point, alluding to his constituency, that w...
Graham Stuart | 474 c1354 (Link to this contribution) I apologise for my late return to the debate. I wonder whether my hon. Friend agrees that we may end...
Howard Stoate | 474 c1348-50 (Link to this contribution) First, may I apologise to you, Mr. Deputy Speaker, for not being in my place at the start of the deb...
Richard Taylor | 474 c1346-8 (Link to this contribution) I have absolutely no objection to siting these facilities, whatever they are called, in areas where ...
Nicholas Winterton | 474 c1352 (Link to this contribution) In an area such as Macclesfield, which I represent, where there is an out-of-hours service staffed b...
Lord Jackson of Peterborough | 474 c1350-2 (Link to this contribution) It is a pleasure to follow the hon. Member for Dartford (Dr. Stoate), with whom I served on the Sele...
Richard Taylor | 474 c1346 (Link to this contribution) After that cogitation, I am grateful to have been called to speak, Mr. Deputy Speaker. I was encour...
Lord Jackson of Peterborough | 474 c1346 (Link to this contribution) I am grateful to the hon. Gentleman. I was privileged to serve with him on the Select Committee on H...
Alan Johnson | 474 c1325-6 (Link to this contribution) I beg to move, To leave out from ““House”” to the end of the Question, and to add instead thereof:"“...
Nadine Dorries | 474 c1326 (Link to this contribution) Given what the Secretary of State has just said, does he agree that GPs represent one of the most co...
Alan Johnson | 474 c1326 (Link to this contribution) I believe that absolutely. GPs are fundamentally important to everything that happens in the NHS, an...
Lord Jackson of Peterborough | 474 c1326 (Link to this contribution) One always knows that the Labour party's arguments on health are vacuous when they are shroud-waving...
Alan Johnson | 474 c1327;474 c1326-7 (Link to this contribution) The hon. Gentleman will have to do better or I will not allow him to intervene again. What are we d...
Andrew George | 474 c1327 (Link to this contribution) A moment ago, the Secretary of State said that he pleaded guilty to making a major investment in pri...
Alan Johnson | 474 c1327-8 (Link to this contribution) I announced last July that there would be no more structural reorganisation in the NHS—no more chang...
Tom Levitt | 474 c1328 (Link to this contribution) Further to my right hon. Friend's point, I am grateful for the assurances that he has given about st...
Alan Johnson | 474 c1329 (Link to this contribution) Those definitions of what is a polyclinic and what is a health centre—
Alan Johnson | 474 c1328 (Link to this contribution) My hon. Friend makes an important point. We can take the example of London, where polyclinics are a ...
Mark Simmonds | 474 c1328 (Link to this contribution) The Secretary of State said that the policy was not centralised or imposed. If a primary care trust ...
Alan Johnson | 474 c1329 (Link to this contribution) I am tempted to say that, if a bedpan falls on the floor in a Wolverhampton hospital, I expect it to...
Tom Levitt | 474 c1329 (Link to this contribution) I am grateful for my right hon. Friend's reassurance about polyclinics. When I first heard the word,...
Alan Johnson | 474 c1329 (Link to this contribution) That is an important point for our health inequalities strategy, which we will publish soon. As Lord...
Rob Marris | 474 c1329 (Link to this contribution) I welcome my right hon. Friend's remarks. May I urge him not to give in to the calls for a free-for-...
Lord Lansley | 474 c1325;474 c1324-5 (Link to this contribution) Not in a personal capacity—in a professional capacity. It is entirely typical of this Government th...
Lord Lansley | 474 c1324 (Link to this contribution) I am grateful to my hon. Friend. She may have heard me refer to the GPs coming together in Macclesfi...
Ann Winterton | 474 c1324 (Link to this contribution) There is one danger that my hon. Friend has omitted in talking about the push for polyclinics—the im...
Lord Lansley | 474 c1323 (Link to this contribution) No, I am sorry—I am about to conclude. Using the excuse of the row with the BMA and the fact that G...
Lord Lansley | 474 c1322-3 (Link to this contribution) No, if my hon. Friend will forgive me, because I need to make this clear. The purpose of this debat...
John Pugh | 474 c1323 (Link to this contribution) Will the hon. Gentleman give way?
John Pugh | 474 c1338 (Link to this contribution) There is a lack of semantic clarity about the issue, as we have already seen in our debate, but one ...
Alan Johnson | 474 c1328 (Link to this contribution) Indeed, and that is the experience throughout the country. It is the experience of my constituency, ...
Norman Lamb | 474 c1329 (Link to this contribution) The Secretary of State referred to the extra investment in new practices in under-doctored areas, an...
Peter Bone | 474 c1362 (Link to this contribution) I am grateful to the hon. Gentleman for his intervention, because it takes me to my final point. Eve...
Peter Bone | 474 c1332 (Link to this contribution) Does the Secretary of State accept that in some parts of the country GPs have already got together t...
Lord Jackson of Peterborough | 474 c1354 (Link to this contribution) Labour Members of Parliament, who are in a weird parallel universe with the Prime Minister, voted ag...
Nadine Dorries | 474 c1343-4 (Link to this contribution) I specifically referred to the past three years. Staffing costs have increased for general practice,...
Alan Johnson | 474 c1328-9 (Link to this contribution) There would be no problem with that, given that we are not specifying polyclinics as any part of the...
Peter Bone | 474 c1355 (Link to this contribution) Has the Chairman of the Select Committee had a lot of people in his area writing letters or coming t...
Brian Iddon | 474 c1328 (Link to this contribution) Does my right hon. Friend agree that in areas such as mine, which is a heavily and densely populated...
Subjects
Contracts Finance General practitioners NHS Patients Primary care Public participation Standards Health centres Treatment centres
Link
View this Parliamentary proceeding on www.publications.parliament.uk