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Mr. Howard: The NHS is indeed a Stalinist creation. [Interruption.] Yes, it is. That is the age in which it was born, and it does much more to hinder and hamper the efforts of those who work in itwho work heroically despite itthan it does to help them.
Let us see how the evolving saga develops. After 18 years in opposition to consider these matters and after four years in government, what do the Government do? They set up a new committee. Once the Prime Minister got to know the terms of reference of the Wanless committeehe clearly did not know about them until they were produced in the House last Tuesdayhe thought that he had better remind people of his own committee, the Adair Turner committee. So important was the Turner committee that the Prime Minister appeared to have forgotten all about it. The Chancellor certainly made no mention of it in his statement last Tuesday, yet on Friday night he was hurriedly dispatched to give an interview to "News at 10", giving the impression that it was an entirely new committee.
Mr. Howard: I am interested that the hon. Member for Harrow, East (Mr. McNulty), from his usual sedentary position, says that it is not worth reminding people of the Turner committee, but it is his Prime Minister's committee, not mine. The Prime Minister set it up. It was set up in October and asked to do what was described as "blue sky" thinking, looking
My second challenge to the Chancellor is this: is that still the position, or have the Government changed their mind on that as well? Will we ever be told the conclusions of the Turner committee? If so, when? The Wanless committee is supposed to study the amount of money
What health care in this country needs is not more committees; it needs radical reform so that the dedicated doctors and nurses working in it can be helped, and not hampered by the structure in which they work. It needs action to ensure that the money wasted on the NHSbetween £7 billion and £10 billion, according to reports this weekendis no longer wasted. It needs to be able to put an end to the state of affairs in which people die in our country from illnesses that they would survive in other countries. It needs extra resources, in addition to those that can be provided out of general taxation.
That is what happens in every other country with health care better than ours. It is what the OECD recommends, and what would offer the best prospect of bringing better health care to Britain. That is why today my right hon. Friend the Leader of the Opposition and the shadow Health Secretary are in Stockholm, as part of a series of visits to learn from other health care systems in Europe and beyond. Our party has put health care reform at the very top of our agenda.
Let no one be in any doubt about how badly we need better health care. Even the Prime Minister was unable last week to dispute the claims of his party chairman that far from improving, the national health service has gone backwards since 1997. Even Mr. Wanless says in his report:
So, is it any wonder that the Chancellor and the Prime Minister are at sixes and sevens? Last Wednesday, the Prime Minister could not have been clearer. When asked whether it was still Government policy to raise health spending to the EU average by 2005, he replied, "Of course it is." The following day, the Leader of the House announced that he wanted to clarify that statement. We were told that when the Prime Minister had said 2005, he meant to say 2006. Conveniently, that means that he will have to be held to account after, rather than before, the likely date of the next general election.
Then the Chancellor got in on the act. In his interview with The Sun, he refused to explain what the Prime Minister actually meant. He refused to say whether the promise applied to EU spending at the time mentioned in
My third challenge for the Chancellor is this: will he now clarify matters? [Interruption.] Is it a firm commitment or a vague aspiration? Does it relate to European health spending in 2000, 2001, 2005 or 2006? Does it relate to averages including or excluding Britain? Are those averages weighted for population differences, or is Germany being given the same weight as Luxembourg? [Interruption.] And when will it be achieved: 2005, 2006, some time or never? [Interruption.]
Mr. Howard: This is not some arcane, theoretical dispute, but a matter that is vital for the lives of every person in this country. The Chancellor must make the Government's position clear once and for all.
The confusion does not end there. The Secretary of State for Health and the chairman of the Labour party are reported to have called for a hypothecated health tax. They are said to have the support of the Home Secretary and the Secretary of State for Trade and Industry. The right hon. Member for Hartlepool (Mr. Mandelson) has asked the Government to consider compulsory social insurance or a ring-fenced health tax. He said:
The Government have demonstrated in the past few days that we will never get the health care that we need so long as they remain in power. We must show that we will do better, and that is exactly what we intend to do.