Mr Chope: I am delighted to hear that SmartWater is sold out of Shropshire, but my hon. Friend the Member for The Wrekin (Mark Pritchard), who was not present earlier, will probably be disappointed to learn that it is

9 Nov 2012 : Column 1193

not mentioned specifically in the Bill because the Government did not accept an amendment that I had tabled to that effect.

It was a pleasure to hear what was said by my hon. Friend the Member for Banbury (Sir Tony Baldry). He and I have worked together in the House for a long time. Today we have a new Archbishop of Canterbury, and we see the prospect of the Churches, and particularly the Church of England, uniting to seek a constructive way forward. Willing the end is one thing, but willing the means is another. Willing the means is one of the tasks that confront the new Archbishop, and it is a task that the Government have had to perform in dealing with the Bill.

There is much in the Bill that will improve matters. Only time will tell whether I am right in feeling that it should have contained additional measures which would have made it more effective, but I do not think that we have heard the last of this issue. However, I shall not refer to the measures that were not included in the Bill, because in a Third Reading debate we can only comment on what it contains now. I think that, as far as it goes, it is great. Let us ensure that the Government bring it into effect very quickly, because there is still scope for the dragging of feet. I see no reason why it should not receive Royal Assent fairly soon, and be implemented within two months of that.

2.13 pm

Nick de Bois: I have a simple message from the many friends and supporters of my hon. Friend the Member for Croydon South (Richard Ottaway). Forty Hall, which has been ransacked repeatedly, is a great treasure not just for Greater London and Enfield, but for the country as a whole, and the Bill will make a magnificent difference to its future. My constituents have asked me to convey their thanks to my hon. Friend and to the House if the Bill is given a Third Reading, and I have honoured my pledge to do so.

2.14 pm

Mr Jeremy Browne: Thank you, Mr Deputy Speaker, for giving me the opportunity to make this concluding speech. Let me begin by saying what a privilege it is for me to be in this position at this stage in the Bill’s passage. Members on both sides of the House have

9 Nov 2012 : Column 1194

spoken with feeling and emotion about the devastating impact that metal theft has had on the communities that they represent.

Let me briefly describe the approach that the Government are keen to take. We want legitimate metal dealers to be able to operate in a way that is productive and profitable for them. We hope this legislation will make it easier for their businesses to be successful because they will not have to compete with other businesses that behave illegally or inappropriately. This is a major industry and there are people employed in it who work hard and do a valuable job, and we want them to be successful.

The Government and others have identified that there is a vulnerability in the system at the point at which metal is traded. Even if people are able to steal metal, it is far too easy for them then to be able to launder it, so to speak, through the system. My hon. Friend the Member for Croydon South (Richard Ottaway) seeks to address that problem in his Bill by adding greater resilience, and we strongly support him. I accept the point made by my hon. Friend the Member for Shipley (Philip Davies) that this is only one part of the process, however. All the law enforcement agencies must play their part and do everything possible to prevent metal theft.

It is a distressing and disruptive crime in many ways, and we have heard about the disruption caused to train services. For the perpetrators, it can be a dangerous crime, too, and we heard about people being killed while stealing metal. For a lot of people, it is an emotionally distressing crime. Artwork has been stolen. Lead has been taken from church roofs. The stealing of metal from war memorials is monstrous, as people who have fought and died to give us the opportunity to have debates of this sort have their memory desecrated. People rightly feel very strongly about that, and I am pleased legislation has been introduced.

On behalf of the Government, I pay tribute to my hon. Friend the Member for Croydon South and everyone else, including officials, who has been involved in the drafting and progress of this Bill. We believe it is extremely important, and its provisions will make a tangible and major difference to the lives of many of our constituents.

Question put and agreed to.

Bill accordingly read the Third time and passed.

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Prevention of Social Housing Fraud Bill

Bill, as amended in the Public Bill Committee, considered.

Third Reading

2.17 pm

Richard Harrington (Watford) (Con): I beg to move, That the Bill be now read the Third time.

I shall be brief as the Bill has been discussed very thoroughly at previous stages. I want to remind Members about the need for it, however. An Audit Commission report published only this week found that 98,000 social tenancies are deemed to be improper and illegal sub-lettings. Those properties could house people who are properly on waiting lists and who deserve social housing. The Audit Commission estimates this problem costs the public purse about three times more than housing benefit fraud. Given that there are 2 million people on housing waiting lists, it should be clear to all Members that it is important that we legislate.

I am delighted that there is a political consensus in favour of the Bill. It originated from a speech by the former Housing Minister, the right hon. Member for Wentworth and Dearne (John Healey), who has been very helpful to me and has introduced me to the current shadow Housing Minister, the hon. Member for Birmingham, Erdington (Jack Dromey). I pay tribute to him and his Opposition colleagues for the help they have given me. I am also delighted that the Bill has been supported by the hon. Member for Bassetlaw (John Mann), my hon. Friend the Member for Stone (Mr Cash) and others.

The Bill creates offences that will stop people perpetrating social housing fraud and that will allow those who deserve to occupy such housing to do so. It will therefore also dramatically shorten our housing waiting lists. I thank everyone who has supported the Bill, and I hope we can introduce its provisions into law as swiftly as possible.

2.19 pm

Chris Williamson (Derby North) (Lab): In view of the short time available, I intend to keep my remarks brief. Let me start by congratulating the hon. Member for Watford (Richard Harrington) on introducing this Bill, because it is an appropriate step to take, given the scale of the problem he outlined. When so many people in desperate need of housing are on the waiting list, it is clearly completely wrong for a number of rogue tenants to abuse the system to make money and deny people in genuine need an affordable home. If we can agree the Bill today and it ultimately reaches the statute book, it will enable additional powers to be brought to bear to deal with this real problem.

It is important also to take into account the fact that the vast majority—probably 99% or more—of social housing tenants are decent, law-abiding, good people who would never think of sub-letting. I know that the

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hon. Gentleman was not implying, in any way, shape of form, that they would. Those people can be given a bad name by the actions of a tiny minority, and it is important for us to acknowledge that only a small minority of individuals are indulging in this activity. It is worth saying that although the Bill is a useful tool, as we are having to wrestle with a massive housing crisis, it will go only part of the way in dealing with the housing need in this country, and I know that the hon. Gentleman will agree with that.

It is essential that we use the Bill as just one of the tools at our disposal. I know that the Government are looking, for example, at ways to free up empty homes and bring them back into use. Derby has several thousand empty homes, some of which have been empty for more than five years—200 or so have been empty for more than 10 years. So it is important that we encourage local authorities to take the appropriate steps to deal with that as part of an overall menu of options to address the housing crisis befalling us. As part of the overall picture in ensuring that people can get the homes they need, which is what the Bill is designed to do by assisting people on the waiting lists, the Government also need to look at how we can build more affordable homes to deal with the difficulties that people are encountering. I would be interested to hear the Minister’s thoughts on that, too.

I do not want to say a great deal more, because I know that the Minister wishes to say a few words. I suspect that the hon. Member for Watford may have a few concluding remarks to make, and other Members may wish to add their thoughts in the few moments remaining. Once again, I congratulate the hon. Gentleman on introducing the Bill, and I congratulate colleagues who have supported him in his endeavours. I encourage the Government to give the Bill their full support, as I believe they are doing—we will hear from the Minister in a moment on that. I hope that, with a fair wind, the Bill will get on to the statute book and assist local authorities in dealing with a real problem, which I hope we can stamp out once and for all.

2.23 pm

The Parliamentary Under-Secretary of State for Communities and Local Government (Nick Boles): The mission of this Government is to support the aspirations of hard-working people. The aspiration to have a home of one’s own is one that all people share, so affordable homes are one of the most precious assets we have. I therefore hope, Mr Deputy Speaker, that you will not take as a sign of a lack of enthusiasm for this measure, which the Government are supporting, the fact that I will keep my comments very brief. I shall simply commend my hon. Friend the Member for Watford (Richard Harrington) on introducing this Bill, commend the Opposition on supporting it and recommend that all hon. Members do the same.

Question put and agreed to.

Bill accordingly read the Third time and passed.

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Public Debt Management Bill

Second Reading

2.24 pm

Ben Gummer (Ipswich) (Con): I beg to move, That the Bill be now read a Second time.

The coalition Government are bringing order to the finances of the state. It is a great and historic enterprise that is as politically bold as it is innovative. The deficit the coalition inherited was the largest in our nation’s peacetime history, and despite the extraordinary events in the eurozone that have continued since the coalition Government came to power, my hon. Friend the Exchequer Secretary and his colleagues at the Treasury are making steady progress towards meeting their targets in bringing that deficit to balance.

In defeating the deficit, we have only started on the first leg of a long journey. At the end, we will be met with a national debt approaching £1.4 trillion, on which the interest paid will amount to some £53 billion a year—larger than the defence budget, the budget for secondary education, the budget for transport or the budget for foreign aid. That extraordinary figure is more than just a toxic bequest to future generations. It will inhibit growth and our ability to try to get our country back on its feet again. For what? Not to defeat a foreign foe in battle or win a war of survival, but because of a structural deficit that we now understand was £73 billion on the eve of the financial crisis—a structural deficit hidden in the fog of credit, which was so terribly whipped away by the cold financial winds of the global economic meltdown.

My Bill is intended to ensure that we will never face that situation again by building on the Government’s commendable fiscal targets for the period after the next comprehensive spending review and putting in place a structure to deal with ongoing Government debt and the deficits it creates. There is no need to start from a fresh position, as there is a very good example in which measures taken by a Government have succeeded already. One need only look at Sweden, which had a national debt of 78% of GDP in 2000 but will next year see that debt reduced to 26% of GDP. That is a figure that we have not achieved in this country at any point since the second world war.

I have merely taken what the Swedes have done and transposed it to an appropriate form for a British Parliament, a British Government and the debt that we have inherited in Britain, which is approaching a figure very similar to the 78% that the Swedes had in 2000. The Bill is very simple and asks the Chancellor of the Exchequer to set an annual expenditure limit, which will be advised on and decided to be appropriate by the Office for Budget Responsibility. Once that limit is set, the Government will maintain a surplus of 1% within that expenditure limit over the course of the business cycle, which will be decided by the OBR. Parliament

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will vote on that expenditure limit. In so doing it will not only force the Government to keep to their spending plans and to maintain a surplus so that we can bear down on debt, but give back to Parliament our primary responsibility of ensuring that we keep the finances of the nation in check on behalf of our constituents and the subjects of the Crown.

The Bill contains a clause to ensure that in times of national emergency or war, the OBR can advise the Government on how that expenditure limit can be relaxed and on how it can be reeled back to ensure that within the business cycle the surplus can be maintained.

This is all intended merely to start a conversation about what happens after we have defeated the deficit—this great mission of the coalition Government—at the beginning of the next stage of the journey, when we will have to bear down on the national debt that has been the accumulated result of the faults of the previous Government and when we will try to bequeath to future generations a better inheritance than the one we had.

2.29 pm

Ian Murray (Edinburgh South) (Lab): In the 40 seconds or so that remain, let me thank the hon. Member for Ipswich (Ben Gummer) for introducing this Bill. The Opposition think that it is very badly worded and merely a rehash of our fiscal golden rules and of the Chancellor’s. We will hear the autumn/winter statement on 5 December, in which I doubt the Chancellor will be able to meet his own golden rules, and I know the Minister will not be able to respond—

2.30 pm

The debate stood adjourned (Standing Order No. 11(2)).

Ordered, That the debate be resumed on Friday 30 November.

Business without Debate

Land Value Tax Bill

Motion made, That the Bill be now read a Second time.

Hon. Members: Object.

Bill to be read a Second time on Friday 25 January 2013.

General Anti-tax Avoidance Principle Bill

Resumption of adjourned debate on Question (14 September), That the Bill be now read a Second time.

Hon. Members: Object.

Debate to be resumed on Friday 30 November.

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Kettering General Hospital

Motion made and Question proposed, That this House do now adjourn.—(Greg Hands.)

2.31 pm

Mr Philip Hollobone (Kettering) (Con): I thank Mr Speaker, through you, Mr Deputy Speaker, for granting me the privilege of holding this debate, and I welcome the Under-Secretary of State for Health, my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) to his place. May I also take this opportunity to thank, on behalf of local residents throughout the borough of Kettering, all those who work at Kettering general hospital, whether they be nurses, doctors, consultants or ancillary staff, for all the work they do on behalf of local people. It is hugely appreciated. Many people at Kettering general hospital have worked there for a very long time—20, 30 or, in some instances, 40 years. The hospital is very much embedded at the heart of the local community.

I thank Lorene Read, the chief executive, and Steve Hone, the chairman of the trust, for all the work that they have put into the hospital and for the time they have given me over recent weeks to talk about the hospital’s future. I also thank Councillor Russell Roberts, the leader of Kettering borough council, for his close involvement in trying to sort out the hospital’s future.

It is my privilege to have been elected to serve as the Member of Parliament for Kettering, to stand up and speak out on behalf of local people about issues important to them. There is probably nothing more important to local people than the future of our much loved and badly needed local hospital in Kettering.

The nub of the points that I want to make is that local people simply will not put up with any prospect whatsoever of any downgrade to the accident and emergency facilities or the maternity wing at Kettering general hospital. Those are two highly valued, much prized departments and whoever plans the future of the hospital simply must not downgrade those two vital facilities, because they do a fantastic job in very difficult circumstances.

Kettering is growing extremely rapidly. Over the past decade, the borough of Kettering was sixth out of 348 districts throughout the country in the rapidity of household growth, and 31st in population growth. Few other parts of the country are growing as fast as Kettering. We have always needed our hospital and we now need it more badly than ever.

On public sector transport, the connections between Kettering and the rest of Northamptonshire, let alone the rest of the country, especially to the other acute hospital sites in the south-east midlands, are not good. The road between Kettering and Northampton, the A43, is the most dangerous and most congested in Northamptonshire. The idea that facilities could simply be moved out of Kettering and down the road to Northampton does not work for the staff or patients at the hospital. I say to the Minister that because of the demographics, the increasing age of the population, the rate of population growth, the geography of Northamptonshire and the crucial need for, but lack of, available future capital investment, any rearrangement of acute service provision by the NHS in the south-east midlands must not involve any downgrading of the A and E and maternity departments at Kettering.

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The Minister needs to be aware that Kettering general hospital is much loved and badly needed. It has been in existence for 115 years. Local people have been born there, have seen their relatives treated there and have died there. Everyone in Kettering has, at one point or another, been through that hospital. It is a hospital embedded in the local community like few others.

As of today, Kettering general hospital employs 3,100 staff. It has more than 600 in-patient and day-case beds, 17 operating theatres, seven intensive treatment unit beds and three high-dependency unit beds. The obstetric unit delivers about 3,800 babies a year and is where my two children were delivered some years ago. The midwifery department is growing at a rate of between 5% and 7% a year. It includes a neonatal intensive care unit for babies, which is a sort of special care baby unit-plus. There is also a new £30 million treatment centre with enhanced paediatric facilities, which is opening next year.

Kettering general hospital has a level 2 trauma unit in its 24/7 A and E department, which is consultant-led. It currently has five consultants and two locums. Consultants are on site until 11 o’clock in the evening and are on call until 8 o’clock in the morning. Some 3,200 orthopaedic patients—people with hip and knee problems—go through the hospital every year, as well as 2,137 trauma patients. The hospital has a leading endoscopy unit, which basically does bowel screening, and a state-of-the-art cardiac facility, which is now the primary angiogram centre for Northamptonshire and south Leicestershire.

It is true that Kettering general hospital cannot provide the required level of treatment for severe head injuries or severe burns. Such patients are transferred, often by helicopter, to University hospital Coventry down the road, which has a level 3 trauma facility. However, Kettering general hospital is where most trauma patients need to go. Its location, right next to the A14, which is one of the busiest arteries in the midlands, is ideal for the all-too-many road traffic accidents that occur.

Healthier Together is leading a review of acute hospital provision in the south-east midlands that involves the five hospitals in Northamptonshire, Bedfordshire, Milton Keynes and Luton: Kettering general hospital, Northampton general hospital, Bedford hospital, Milton Keynes hospital and Luton and Dunstable university hospital. Kettering general hospital is the most northerly of those. It is 16 miles from Northampton, 24 miles from Bedford, 34 miles from Milton Keynes and 47 miles from Luton and Dunstable. If we lose our A and E or if it is downgraded, it will simply be too far for people to go to those other facilities.

Healthier Together set up six clinical working groups led by consultants, which produced seven highly theoretical draft models for the way in which acute hospital services could be reconfigured. There are now two preferred models. The problem is that, in one way or another, both the preferred models involve effectively downgrading two of the five hospitals. At the moment, the five hospitals all have A and E, trauma, emergency surgery, complex and elective surgery, acute medicine, ITU, in-patient paediatrics, obstetrics, out-patient diagnostics and in-patient re-ablement services. Under the draft proposals, two of them would not have all those services, and my campaign is to ensure that Kettering is not one of those two. It would be an absolute tragedy for local people were we to lose our ITU, our acute medicine facility, our level 2

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trauma unit or our emergency surgery unit, or if the much needed recent investment and next year’s investment in improved paediatrics were moved away from Kettering. Up with it local people simply will not put.

One of my big worries about Healthier Together is that, although a lot of well meaning clinicians are leading the review—I know the Minister is a clinician of some repute himself—they need to realise that they are dealing with patients who do not move around as much as clinicians might. Although it might in theory be very nice to have shiny, brand-new hospitals in ideal locations, people do not live like that. Patients and staff need to have straightforward, easy access to hospital facilities.

There is meant to be public engagement in the Healthier Together review process, led by the so-called patient and public advisory group. I am sure that the individuals on that group are doing their best, but I am afraid they are hardly representative of the population of the south-east midlands. I have been on the comprehensive Healthier Together website today and read through all the material, including the minutes of the patient and public advisory group’s recent meetings. The most recent one whose minutes have been published was in March, so the minutes of a lot of meetings have not yet been published. Of the 17 individuals present at that March meeting, one was from Kettering and five were from Milton Keynes. Reading through the material provided by Healthier Together makes it clear that the process is led and dominated by Milton Keynes. I have nothing against people in Milton Keynes, and I am sure they need health services like everyone else, but there are five acute hospitals in the south-east midlands, not one, and the patients of all five deserve fair representation throughout the process. I invite the Minister to look at the Healthier Together review and see whether he is satisfied that patients and clinicians from across the region are being fully engaged in the process. My contention is that patients, doctors, nurses and ancillary staff from Kettering are not fully involved, which they should be.

One of the key points that has been missing from the review so far is recognition of the importance of access to health care facilities. Healthier Together states in its papers that it has set up a travel and transport working group, which has started to investigate the possible effects on journey times if health services are reconfigured. It states:

“An early task included commissioning independent experts to analyse journey times to hospital by private car and emergency ambulance. That analysis focused on travel at peak rush hours—from 7-9 am and from 4-7 pm.”

We do not need an independent expert to tell us that it is almost impossible to drive from Kettering to Northampton down the A43 during peak time without becoming part of an elongated car park, or that if a nurse had to move to Northampton she would find it very difficult to get there in the morning by public transport. There is no rail link between the two towns, and the bus service is intermittent. We do not need an independent expert to tell us that Kettering residents who want to visit an elderly relative in hospital would find it very difficult, without public transport, to go to Northampton, Bedford, Luton or Milton Keynes.

Evidence—if we need more—of the pressure placed on Kettering hospital by the growth in local population was provided a few weeks ago by Monitor’s intervention in order that the hospital improve its A and E targets.

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Kettering hospital is treating 10% more A and E patients year in, year out; it is treating more A and E patients this year than last year, but it does not treat 95% within four hours and is in significant breach of statutory targets. Monitor has intervened, quite rightly, and told the hospital to sort that out, which I am confident it will sort out. That situation is indicative of the growth in the local population and the pressure that that is putting on local A and E facilities.

I am grateful for the chance to put the concerns of local people about our hospital directly to the Minister on the Floor of the House, and let me tell him, as plainly as I can, that the situation is completely unacceptable to everyone in Kettering, whatever political party they support or even if they support no political party. We will not put up with our accident and emergency service or maternity wings being downgraded.

Local staff at the hospital are doing their best in difficult circumstances against a background of one of the fastest population increases in the country. Healthier Together needs to get its act together because Kettering hospital is going to have a bright future, whatever clinicians in Milton Keynes might say.

2.46 pm

The Parliamentary Under-Secretary of State for Health (Dr Daniel Poulter): It is a pleasure to respond to this debate and I congratulate my hon. Friend the Member for Kettering (Mr Hollobone) on showing great concern for his local hospital, and on expressing so eloquently his support for local NHS services and staff in Kettering and throughout his region. I recognise his long-standing dedication to ensuring that the health needs of all his constituents are met and, throughout his time in the House, he has been a strong advocate for his constituency, not just in today’s debate. He has consistently raised issues on how to improve the quality of health care and outcomes for the people of Kettering, and I congratulate him on that.

It is worth providing a little background to today’s debate. As my hon. Friend eloquently outlined, Kettering hospital had just under 370,000 patient contacts in 2011-12, including more than 85,000 attendances at A and E. That is more than ever before which, as he pointed out, is due to rising population pressures in Kettering and increased population growth. Indeed, the fact that people are living longer presents new and different challenges to the way we deliver health care throughout the NHS.

Let me take this opportunity to recognise, as my hon. Friend did, the hard work and dedication shown by NHS staff in his constituency. There are more than 3,200 staff at the trust, in addition to those who work hard to look after patients in primary care. The dedication and commitment they show to improving the health and well-being of my hon. Friend’s constituents, and those of other hon. Members, makes us all proud of our NHS and the dedicated front-line staff who work tirelessly on a day-to-day basis, often going above and beyond the call of duty to deliver high-quality patient care.

I reassure my hon. Friend that A and E and maternity services at Kettering hospital are safe. The Prime Minister has put that clearly on the record, and I confirm it again today.

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Lilian Greenwood (Nottingham South) (Lab): Will the Minister give way?

Dr Poulter: It is interesting to find a Member from Nottingham, who I hoped would be in her constituency on a Friday looking after her constituents, taking such an active interest in this debate. However, I am happy to give way once on this issue.

Lilian Greenwood: I am attending this debate because I was here earlier to deal with a private Member’s Bill on behalf of the shadow transport team. Whatever the Minister says, is it not a fact that in the official documents, the “best” option is downgrading Kettering general hospital’s accident and emergency, maternity, children’s and acute services, and cutting a significant number of beds? How can he say that those services are safe?

Dr Poulter: The hon. Lady is turning this into a political debate, which is exactly what the Labour candidate in the Corby by-election has done. That is completely wrong and what she says is not true—it is scaremongering. There are no official documents at the moment because there is no consultation of that nature at the moment. There is no NHS consultation. Perhaps she should focus more on Nottingham, which is where her constituency is. I am sure her constituents would rather she were on the train back to hold a constituency surgery, which is what I will be doing after this debate, rather than making silly, ill-founded and mistaken political points about matters that bear no resemblance to her constituents’ concerns. I hope she will draw a lesson from this. I know she has been put up to making that point, but this is not the time.

The hon. Lady’s point was ill-founded. There is no consultation active in Kettering at the moment. There were some leaked documents about a range of options, which incorrectly set a number of hares running. The Labour candidate in the Corby by-election has already retracted his position. My hon. Friend has held the debate today because of that scaremongering, and because he is such a strong advocate for the needs of his patients in Kettering and his hospital. He wants to reassure them that Kettering hospital has a viable future.

Lilian Greenwood: Will the Minister give way?

Dr Poulter: I will not give way again. This is an Adjournment debate, not a general debate on the Floor of the House. The hon. Lady did not contact me before the debate to say that she would make a point—no Labour Member did. This is not a time to raise those points. The debate is about reassuring my hon. Friend that Kettering hospital has a viable future, which it does. That is confirmed clearly by Healthier Together, which has also confirmed that no active consultation is taking place; that, at the moment, we have only potential options appraisals; that A and E and maternity are safe; and that Kettering hospital has a viable future. I hope that the hon. Lady will put as much dedication into standing up for her hospital services in Nottingham as she has to making cheap party political points in a debate about a different part of the country.

I should now like to address some of the points, questions and legitimate concerns that have been raised, mostly as a result of the outrageous scaremongering by

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the Labour party. The Healthier Together programme has been put together, but, as I have said, there is no formal consultation at the moment. I am sure the concerns my hon. Friend so eloquently raised will be fed into it, and that the debate, and the comments of the Prime Minister and Health Ministers, will be part of it.

We recognise, as my hon. Friend has outlined, the importance of proper public engagement throughout any consultation process—as and when it comes. He will be aware that there has already been significant public and stakeholder engagement on how services in the midlands might need to look in future. As he rightly said, there are new demographic challenges—more people are moving into that part of the country—and the process of engagement must continue. If a formal consultation is opened in future, it is important that it meets the clear clinical tests for service reconfiguration. However, I should repeat that no formal consultation has been opened and it would be incorrect to allow any further Labour party scaremongering on that point.

It is worth bearing in mind that part of the reason for the concerns about services in my hon. Friend’s part of the world is the massive private finance initiative debt signed off by the previous Government to Milton Keynes hospital, which has struggled ever since the PFI was signed. That has led to significant pressures on Milton Keynes and other hospitals in the region. As we know, some services are specialist centres. It might be worth reflecting, before any further cheap political points are made, that one reason why there was a discussion about a consultation on services was the big PFI legacy of debt, which is stopping the delivery of high-quality front-line care. That is a direct legacy of the previous Government signing off bad PFI deals in health care. It is worth reflecting on that before any more scaremongering takes place.

When reconfiguration of health care takes place, the previous Government—and this Government—have laid down some key tests of what makes a good reconfiguration. It has to be led locally by local commissioners and decision makers, and my hon. Friend made that point very clearly. Any significant proposed changes to services would be subject to four reconfiguration tests set out by the previous Secretary of State for Health. They are local support for the changes from GP commissioners and clinical leaderships; robust arrangements for public and patient engagement, including local authorities; greater clarity about the clinical evidence basis underpinning proposals; and the need to take into account the development and support of patient choice.

In my hon. Friend’s region there are considerable distances between the hospitals involved and, if at some point in the future a consultation opened up, those greater travelling distances between hospitals would be taken into account as it may impinge on patient choice. I hope that restating those configuration tests is helpful. If there is concern that those tests have not been met, an independent review can be carried out by the independent reconfiguration panel, at the discretion of the Secretary of State. I hope that my hon. Friend finds that reassuring. I reiterate that at the moment there is no consultation formally on the table in Kettering, and its accident and emergency and maternity services are safe.

There are other significant challenges facing Kettering hospital and the local NHS, as my hon. Friend outlined. They are the same as those faced by the NHS everywhere—

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ensuring that we have services that are fit for purpose for the future to better look after the many older people—people are living longer—and the need to provide more dignity in elderly care. Part of that is having local bread-and-butter services. My hon. Friend rightly made the point that some health care services have to be regionalised, such as specialist trauma centres. The clinical evidence is that such centres save lives and, in my part of the world, we have one in Addenbrooke’s. Dedicated centres for stroke care also improve care for patients and the quality of outcomes for people with stroke, so that they can resume their daily activities much more quickly. Those day-to-day, bread-and-butter health care services that are so important, such as maternity and accident and emergency—and the cardiac services that Kettering is rightly proud of—are needed at a local level, and I am sure that any test of reconfiguration would confirm that they should remain accessible locally. We are very aware that many parts of the country are not urban. Many people face the challenges of rural life

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and the distances to travel between centres. Whenever services are redesigned in the future, it is important that those bread-and-butter services are available for local patients.

I reiterate the fact that there is no formal consultation proposal, and there is no place for scaremongering in these debates. I am sure that the future of Kettering hospital is a vibrant and successful one. I know that my hon. Friend has strongly advocated the dedication of local staff and I hope that he will take my reassurance back to them—so that they do not listen to the scaremongering—that Kettering hospital will still have a viable A and E and viable maternity services, and a very strong future.

Question put and agreed to.

2.59 pm

House adjourned.