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9.1 pm
Dr. Stoate: I realise that time is short but as I am the only practising GP in the House, I feel qualified to make one or two points that may, I hope, help hon. Members.
My constituents believe passionately in the NHS. They believe in a service free at the point of use and available to all, regardless of their circumstances. The only alternative to a national health service is some sort of privatised service, based on social insurance or a private insurance scheme, neither of which would cut much ice with people in this country.
People tell me that one of the current problems is that the service is too often geared to the needs of the providers and not enough to the needs of the users. They want more choice, more flexibility and more say in how their services are run.
There has been a huge, long debate on foundation hospitals, but it boils down to a simple concept, which is not rocket science and does not involve destroying the health service or huge upheaval. The proposals would do two things: first, they would give more democracy to the health service by setting up boards of governors whereby local people can have an important say in the way that the health service is run.
David Taylor (North-West Leicestershire): Will my hon. Friend give way?
Dr. Stoate: I am very short of time.
People on the board of governors can say how the hospital is run. People would also have the opportunity to decide for themselves how services are provided, dependent on local needs, priorities and circumstances. Surely, that is the way to go. It is merely opening up the health service, to provide more flexibility, more choice and more democracy.
It is difficult to understand what all the fuss is about. The proposals are a way of improving the health service to deliver the health care that we need in the next century. The NHS is 60 years old, and it is ripe for modernisation. We need a service that is more responsive to users and less geared to the needs of providers.
I realise that there is little time to develop the debate, but those points are important. The new GP contract will also be of huge benefit to patients because it will allow GPs to provide a much more responsive service and to meet as many needs as possible in a health service of which we should all be proud. I hope to be part of it as it develops.
9.3 pm
Mr. Lansley: As the Bill goes off to another place, I urge those in that place to reform it so that primary care trusts and commissioning are at the heart of local ownership, that if there is to be an independent regulator, he should—
It being eight hours after the commencement of proceedings on the programme motion, Mr. Deputy Speaker, pursuant to Order [this day], put forthwith the question already proposed from the Chair.
Question put, That the Bill be now read the Third time:—
The House divided: Ayes 306, Noes 57.
AYES
Adams, Irene (Paisley N)
Ainger, Nick
Ainsworth, Bob (Cov'try NE)
Alexander, Douglas
Allen, Graham
Anderson, Janet (Rossendale & Darwen)
Armstrong, rh Ms Hilary
Bailey, Adrian
Banks, Tony
Barron, rh Kevin
Beard, Nigel
Beckett, rh Margaret
Begg, Miss Anne
Benn, Hilary
Bennett, Andrew
Benton, Joe (Bootle)
Betts, Clive
Blackman, Liz
Blears, Ms Hazel
Blizzard, Bob
Blunkett, rh David
Boateng, rh Paul
Bradley, rh Keith (Withington)
Bradley, Peter (The Wrekin)
Bradshaw, Ben
Brennan, Kevin
Brown, rh Gordon (Dunfermline E)
Brown, Russell (Dumfries)
Browne, Desmond
Bryant, Chris
Buck, Ms Karen
Burden, Richard
Burgon, Colin
Burnham, Andy
Caborn, rh Richard
Cairns, David
Campbell, Alan (Tynemouth)
Campbell, Mrs Anne (C'bridge)
Campbell, Ronnie (Blyth V)
Caplin, Ivor
Casale, Roger
Caton, Martin
Cawsey, Ian (Brigg)
Challen, Colin
Chapman, Ben (Wirral S)
Chaytor, David
Clark, Mrs Helen (Peterborough)
Clark, Dr. Lynda (Edinburgh Pentlands)
Clarke, rh Charles (Norwich S)
Clarke, rh Tom (Coatbridge & Chryston)
Clwyd, Ann (Cynon V)
Coaker, Vernon
Coffey, Ms Ann
Cohen, Harry
Colman, Tony
Cook, rh Robin (Livingston)
Cooper, Yvette
Corston, Jean
Cousins, Jim
Cranston, Ross
Crausby, David
Cruddas, Jon
Cummings, John
Cunningham, rh Dr. Jack (Copeland)
Cunningham, Jim (Coventry S)
Cunningham, Tony (Workington)
Darling, rh Alistair
Davey, Valerie (Bristol W)
David, Wayne
Davidson, Ian
Davies, rh Denzil (Llanelli)
Davies, Geraint (Croydon C)
Dawson, Hilton
Denham, rh John
Donohoe, Brian H.
Doran, Frank
Dowd, Jim (Lewisham W)
Eagle, Maria (L'pool Garston)
Edwards, Huw
Ennis, Jeff (Barnsley E)
Farrelly, Paul
Field, rh Frank (Birkenhead)
Fitzpatrick, Jim
Fitzsimons, Mrs Lorna
Flint, Caroline
Flynn, Paul (Newport W)
Follett, Barbara
Foster, rh Derek
Foster, Michael (Worcester)
Foster, Michael Jabez (Hastings & Rye)
Foulkes, rh George
Francis, Dr. Hywel
Gapes, Mike (Ilford S)
Gardiner, Barry
Gerrard, Neil
Gilroy, Linda
Godsiff, Roger
Goggins, Paul
Griffiths, Jane (Reading E)
Griffiths, Nigel (Edinburgh S)
Grogan, John
Hain, rh Peter
Hall, Mike (Weaver Vale)
Hall, Patrick (Bedford)
Hanson, David
Harman, rh Ms Harriet
Harris, Tom (Glasgow Cathcart)
Healey, John
Henderson, Ivan (Harwich)
Hendrick, Mark
Hepburn, Stephen
Heppell, John
Hermon, Lady
Hesford, Stephen
Hill, Keith (Streatham)
Hodge, Margaret
Hood, Jimmy (Clydesdale)
Hoon, rh Geoffrey
Hope, Phil (Corby)
Howarth, rh Alan (Newport E)
Howarth, George (Knowsley N & Sefton E)
Howells, Dr. Kim
Hoyle, Lindsay
Hughes, Beverley (Stretford & Urmston)
Hughes, Kevin (Doncaster N)
Hurst, Alan (Braintree)
Hutton, rh John
Iddon, Dr. Brian
Ingram, rh Adam
Irranca-Davies, Huw
Jackson, Helen (Hillsborough)
Jamieson, David
Johnson, Alan (Hull W)
Johnson, Miss Melanie (Welwyn Hatfield)
Jones, Jon Owen (Cardiff C)
Jones, Martyn (Clwyd S)
Jowell, rh Tessa
Joyce, Eric (Falkirk W)
Kaufman, rh Gerald
Keeble, Ms Sally
Keen, Alan (Feltham)
Keen, Ann (Brentford)
Kemp, Fraser
Kennedy, Jane (Wavertree)
Khabra, Piara S.
Kidney, David
King, Andy (Rugby)
King, Ms Oona (Bethnal Green & Bow)
Knight, Jim (S Dorset)
Kumar, Dr. Ashok
Ladyman, Dr. Stephen
Lammy, David
Lawrence, Mrs Jackie
Laxton, Bob (Derby N)
Lazarowicz, Mark
Lepper, David
Leslie, Christopher
Levitt, Tom (High Peak)
Lewis, Ivan (Bury S)
Liddell, rh Mrs Helen
Linton, Martin
Love, Andrew
Lucas, Ian (Wrexham)
McAvoy, Thomas
McCabe, Stephen
McCartney, rh Ian
McDonagh, Siobhain
MacDonald, Calum
MacDougall, John
McFall, John
McGuire, Mrs Anne
McKechin, Ann
McKenna, Rosemary
McNamara, Kevin
McNulty, Tony
MacShane, Denis
Mactaggart, Fiona
McWalter, Tony
McWilliam, John
Mahmood, Khalid
Mallaber, Judy
Mandelson, rh Peter
Mann, John (Bassetlaw)
Marris, Rob (Wolverh'ton SW)
Marsden, Gordon (Blackpool S)
Marshall, David (Glasgow Shettleston)
Marshall, Jim (Leicester S)
Martlew, Eric
Meacher, rh Michael
Meale, Alan (Mansfield)
Merron, Gillian
Michael, rh Alun
Milburn, rh Alan
Miliband, David
Miller, Andrew
Moffatt, Laura
Mole, Chris
Moonie, Dr. Lewis
Moran, Margaret
Morley, Elliot
Morris, rh Estelle
Mountford, Kali
Mullin, Chris
Munn, Ms Meg
Murphy, Denis (Wansbeck)
Murphy, Jim (Eastwood)
Murphy, rh Paul (Torfaen)
Naysmith, Dr. Doug
Norris, Dan (Wansdyke)
O'Brien, Bill (Normanton)
O'Brien, Mike (N Warks)
O'Hara, Edward
O'Neill, Martin
Osborne, Sandra (Ayr)
Palmer, Dr. Nick
Pearson, Ian
Perham, Linda
Pickthall, Colin
Pike, Peter (Burnley)
Plaskitt, James
Pollard, Kerry
Pond, Chris (Gravesham)
Pound, Stephen
Prentice, Ms Bridget (Lewisham E)
Prescott, rh John
Primarolo, rh Dawn
Prosser, Gwyn
Purchase, Ken
Purnell, James
Quinn, Lawrie
Rammell, Bill
Rapson, Syd (Portsmouth N)
Raynsford, rh Nick
Reed, Andy (Loughborough)
Reid, rh Dr. John (Hamilton N & Bellshill)
Robertson, John (Glasgow Anniesland)
Robinson, Geoffrey (Coventry NW)
Roche, Mrs Barbara
Rooney, Terry
Roy, Frank (Motherwell)
Ruane, Chris
Ruddock, Joan
Russell, Ms Christine (City of Chester)
Ryan, Joan (Enfield N)
Salter, Martin
Sarwar, Mohammad
Sawford, Phil
Shaw, Jonathan
Sheerman, Barry
Sheridan, Jim
Simon, Siôn (B'ham Erdington)
Singh, Marsha
Skinner, Dennis
Smith, rh Andrew (Oxford E)
Smith, Angela (Basildon)
Smith, rh Chris (Islington S & Finsbury)
Smith, Jacqui (Redditch)
Smith, John (Glamorgan)
Soley, Clive
Southworth, Helen
Spellar, rh John
Starkey, Dr. Phyllis
Steinberg, Gerry
Stewart, Ian (Eccles)
Stinchcombe, Paul
Stoate, Dr. Howard
Strang, rh Dr. Gavin
Stringer, Graham
Sutcliffe, Gerry
Tami, Mark (Alyn)
Taylor, rh Ann (Dewsbury)
Taylor, Dari (Stockton S)
Taylor, David (NW Leics)
Thomas, Gareth (Clwyd W)
Thomas, Gareth (Harrow W)
Timms, Stephen
Todd, Mark (S Derbyshire)
Touhig, Don (Islwyn)
Trickett, Jon
Turner, Dennis (Wolverh'ton SE)
Turner, Neil (Wigan)
Twigg, Derek (Halton)
Twigg, Stephen (Enfield)
Tynan, Bill (Hamilton S)
Vaz, Keith (Leicester E)
Vis, Dr. Rudi
Ward, Claire
Watson, Tom (W Bromwich E)
Watts, David
White, Brian
Whitehead, Dr. Alan
Wicks, Malcolm
Williams, rh Alan (Swansea W)
Williams, Betty (Conwy)
Wilson, Brian
Winnick, David
Winterton, Ms Rosie (Doncaster C)
Woodward, Shaun
Woolas, Phil
Worthington, Tony
Wray, James (Glasgow Baillieston)
Wright, Anthony D. (Gt Yarmouth)
Wright, David (Telford)
Wright, Tony (Cannock)
Wyatt, Derek
Tellers for the Ayes:
Charlotte Atkins and
Paul Clark
NOES
Allan, Richard
Beith, rh A. J.
Breed, Colin
Brooke, Mrs Annette L.
Burnett, John
Burnside, David
Burstow, Paul
Cable, Dr. Vincent
Calton, Mrs Patsy
Campbell, Gregory (E Lond'y)
Cotter, Brian
Davey, Edward (Kingston)
Dodds, Nigel
Donaldson, Jeffrey M.
Doughty, Sue
Ewing, Annabelle
Foster, Don (Bath)
George, Andrew (St. Ives)
Gidley, Sandra
Green, Matthew (Ludlow)
Harris, Dr. Evan (Oxford W & Abingdon)
Harvey, Nick
Hughes, Simon (Southwark N)
Keetch, Paul
Kirkwood, Sir Archy
Lamb, Norman
Laws, David (Yeovil)
Llwyd, Elfyn
Marsden, Paul (Shrewsbury & Atcham)
Moore, Michael
Oaten, Mark (Winchester)
Öpik, Lembit
Paisley, Rev. Ian
Price, Adam (E Carmarthen & Dinefwr)
Pugh, Dr. John
Reid, Alan (Argyll & Bute)
Rendel, David
Robertson, Angus (Moray)
Robinson, Mrs Iris (Strangford)
Robinson, Peter (Belfast E)
Russell, Bob (Colchester)
Salmond, Alex
Sanders, Adrian
Smyth, Rev. Martin (Belfast S)
Stunell, Andrew
Taylor, David (NW Leics)
Taylor, Dr. Richard (Wyre F)
Thomas, Simon (Ceredigion)
Thurso, John
Tonge, Dr. Jenny
Tyler, Paul (N Cornwall)
Webb, Steve (Northavon)
Weir, Michael
Williams, Hywel (Caernarfon)
Williams, Roger (Brecon)
Willis, Phil
Younger-Ross, Richard
Tellers for the Noes:
Tom Brake and
Sir Robert Smith
Question accordingly agreed to.
Bill read the Third time, and passed.
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