Oral Answers to Questions — Health – in the House of Commons at 12:00 am on 5 November 1991.
Mr Winston Churchill
, Davyhulme
12:00,
5 November 1991
To ask the Secretary of State for Health what was the average capital expenditure within Trafford area health authority at constant prices (a) in the period 1974–79 and (b) 1979–1991.
Mrs Virginia Bottomley
Minister of State (Department of Health)
Using 1990–91 prices, average capital spending between 1974–75 and 1978–79 was £2,526,000 a year. Between 1979–80 and 1990–91 spending was £3,083,000—a real increase of 22 per cent.
Mr Winston Churchill
, Davyhulme
I thank my hon. Friend for that reply. Is not it clear from those figures and from many others that it takes a Conservative Government to deliver the goods to NHS patients and that all the Opposition have to offer are promises which more often than not prove false? Will my hon. Friend congratulate Trafford area health authority and everyone involved in the hospitals there on the excellent job that they are doing and especially on the way in which they have brought down waiting lists?
Mrs Virginia Bottomley
Minister of State (Department of Health)
I certainly endorse my hon. Friend's remarks. All that the Labour party offers is promises and rhetoric; we have delivered an improved health service. My hon. Friend will know in his part of the world of the £2 million new maternity unit, the £2 million mental illness unit and the £4 million geriatric and physio unit—all practical achievements. As my hon. Friend rightly pointed out, no patient in his area waits for more than two years and there has been a dramatic fall in the number of those who have to wait a year. That, too, is a practical achievement in the health service. It is high time that the Opposition gave recognition to all in the service who have achieved these excellent results.
Dennis Skinner
Member, Labour Party National Executive Committee
When I hear Tory Members speaking about the health service, in Trafford or anywhere else, I am bound to come to the conclusion that they are after family jobs. Why does not the Minister condemn the appointments of spouses of Tory Members and of Members of the House of Lords who pick up more than £5,000 a year for doing a day's work? It is time this scandal was put to an end.
Mrs Virginia Bottomley
Minister of State (Department of Health)
That is a slightly strange remark to make to me. The hon. Gentleman, who is always well informed, may be aware that I have an uncle who was a Labour Member of Parliament and in the Cabinet. His wife was the chairman of a health authority and she performed that job excellently for many years. I urge the hon. Gentleman to go to Friern hospital. The reason why I feel so strongly about the care of the mentally ill is because of all that my aunt, Peggy Jay, taught me. No one ever cast smears at her on account of her excellent achievements. Those whom we have appointed were chosen on their merits and because of their strong and unequivocal commitment to our national health service.
Mr Fergus Montgomery
, Altrincham and Sale
Is my hon. Friend aware that she has just scored a marvellous bull's eye? Does she agree that the Trafford figures show a dramatic fall in waiting lists and that that is a tribute to the efficient way in which the health authority has managed its operating theatres? Does not it also prove, as my hon. Friend the Member for Davyhulme (Mr. Churchill) said, that the Conservative Government are spending more on the health service and does not it nail the falsehoods repeatedly advanced by the Opposition? We have to go back a little way to remember that in 1976 they presided over the most savage cuts ever imposed on the national health service.
Mrs Virginia Bottomley
Minister of State (Department of Health)
The only time spending on the national health service has been cut was when the Labour party was in power. My hon. Friend is right that management as well as money is what counts. The achievements of his health authority are remarkable. It has one of the lowest rates of cancelled operations in the country. It is organising the service, delivering high-quality care and using manpower and finance to the best possible effect.
Secretary of State was originally the title given to the two officials who conducted the Royal Correspondence under Elizabeth I. Now it is the title held by some of the more important Government Ministers, for example the Secretary of State for Foreign Affairs.
The Opposition are the political parties in the House of Commons other than the largest or Government party. They are called the Opposition because they sit on the benches opposite the Government in the House of Commons Chamber. The largest of the Opposition parties is known as Her Majesty's Opposition. The role of the Official Opposition is to question and scrutinise the work of Government. The Opposition often votes against the Government. In a sense the Official Opposition is the "Government in waiting".
The house of Lords is the upper chamber of the Houses of Parliament. It is filled with Lords (I.E. Lords, Dukes, Baron/esses, Earls, Marquis/esses, Viscounts, Count/esses, etc.) The Lords consider proposals from the EU or from the commons. They can then reject a bill, accept it, or make amendments. If a bill is rejected, the commons can send it back to the lords for re-discussion. The Lords cannot stop a bill for longer than one parliamentary session. If a bill is accepted, it is forwarded to the Queen, who will then sign it and make it law. If a bill is amended, the amended bill is sent back to the House of Commons for discussion.
The Lords are not elected; they are appointed. Lords can take a "whip", that is to say, they can choose a party to represent. Currently, most Peers are Conservative.
The political party system in the English-speaking world evolved in the 17th century, during the fight over the ascension of James the Second to the Throne. James was a Catholic and a Stuart. Those who argued for Parliamentary supremacy were called Whigs, after a Scottish word whiggamore, meaning "horse-driver," applied to Protestant rebels. It was meant as an insult.
They were opposed by Tories, from the Irish word toraidhe (literally, "pursuer," but commonly applied to highwaymen and cow thieves). It was used — obviously derisively — to refer to those who supported the Crown.
By the mid 1700s, the words Tory and Whig were commonly used to describe two political groupings. Tories supported the Church of England, the Crown, and the country gentry, while Whigs supported the rights of religious dissent and the rising industrial bourgeoisie. In the 19th century, Whigs became Liberals; Tories became Conservatives.
Ministers make up the Government and almost all are members of the House of Lords or the House of Commons. There are three main types of Minister. Departmental Ministers are in charge of Government Departments. The Government is divided into different Departments which have responsibilities for different areas. For example the Treasury is in charge of Government spending. Departmental Ministers in the Cabinet are generally called 'Secretary of State' but some have special titles such as Chancellor of the Exchequer. Ministers of State and Junior Ministers assist the ministers in charge of the department. They normally have responsibility for a particular area within the department and are sometimes given a title that reflects this - for example Minister of Transport.
A Member of Parliament (MP) is elected by a particular area or constituency in Britain to represent them in the House of Commons. MPs divide their time between their constituency and the Houses of Parliament in London. Once elected it is an MP's job to represent all the people in his or her constituency. An MP can ask Government Ministers questions, speak about issues in the House of Commons and consider and propose new laws.
The cabinet is the group of twenty or so (and no more than 22) senior government ministers who are responsible for running the departments of state and deciding government policy.
It is chaired by the prime minister.
The cabinet is bound by collective responsibility, which means that all its members must abide by and defend the decisions it takes, despite any private doubts that they might have.
Cabinet ministers are appointed by the prime minister and chosen from MPs or peers of the governing party.
However, during periods of national emergency, or when no single party gains a large enough majority to govern alone, coalition governments have been formed with cabinets containing members from more than one political party.
War cabinets have sometimes been formed with a much smaller membership than the full cabinet.
From time to time the prime minister will reorganise the cabinet in order to bring in new members, or to move existing members around. This reorganisation is known as a cabinet re-shuffle.
The cabinet normally meets once a week in the cabinet room at Downing Street.
