Results 1–20 of 6970 for (in the 'Commons debates' OR in the 'Westminster Hall debates' OR in the 'Lords debates' OR in the 'Northern Ireland Assembly debates') speaker:Lord Lansley

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I beg to move, That this House acknowledges the excellent reputation of emergency and urgent care services in the UK; commends the expertise and dedication of NHS emergency and urgent care staff who work around the clock to provide a consistent and reliable service; notes the strain placed on accident and emergency departments across the country from winter viruses, and commends NHS staff for...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I am grateful to my hon. Friend and heartily endorse what he says. Happily, it is agreed across this House that NHS staff working in emergency and urgent care services do a fabulous job. We depend on them, and over these recent weeks, in all parts of the country, they have not let us down; they have responded terrifically. That is appreciated by patients. A patient wrote to his local...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I am grateful to my hon. Friend. Staff at Broomfield hospital, which serves his constituency, will greatly appreciate his comments. I know from talking to staff across the NHS that we sometimes underestimate the contribution that is made by all its professions and ancillary staff. We simply cannot run hospitals without a wide range of staff being present in order to make it happen,...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I am grateful to my hon. Friend for making that important point. In this debate, we need to press the Government. She will note from our motion that we want the Government to introduce proposals for a new, single telephone number for NHS services. I agree that telephone access to the NHS is necessary, and that it is beneficial to patients, but we should not delude ourselves that it leads to a...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: My hon. Friend reminds me that I visited Queen Mary's in Sidcup in the autumn, when I had the opportunity to see the emergency services and maternity services proposals at work. Many people in south-east London will be concerned about emergency services because, leaving aside the geographical distribution of emergency services in the area and the question of access at normal times, they will...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: My hon. Friend makes an important point, which also relates to emergency services in Banbury, even though he is talking about the John Radcliffe. I visited the emergency department at John Radcliffe about three years ago, and the quality of the redesign of emergency services and the service it provided struck me as remarkably good. The issue of capacity is important. It is possible to have a...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: My hon. Friend is very knowledgeable about these matters. I have discussed the issue with him and with the chairman of his primary care trust, who believes that community teams will be able to look after patients in the community and, as a consequence, avoid their admission to hospital. Let us look carefully at the experience of the past few weeks and find out whether it is possible to do...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: Let us stay in this century shall we? The College of Emergency Medicine said in its report: "We find the term 'Urgent Care Centre' misleading with no clear definition of the case mix, staffing or how they relate to the emergency departments. There is no evidence of the clinical or financial benefits of this model." That is, however, precisely the model being pursued at Chase Farm. That model...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: We are all very concerned to have better access to primary care. The Commonwealth Fund, which Ministers are keen on quoting, published a report last year stating that of the countries that they examined in the survey that Ministers rely on, access to primary care was worst in the United Kingdom. It stated, for example, that out-of-hours evening and weekend access to primary care was available...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I shall give way one more time and then I must make some progress, because I do not want to take up too much time.

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: My hon. Friend makes a vital point. It is astonishing that Labour MEPs would not adhere even to their own Government's policy. That came after the Government's presidency of the European Council, when they were unable to deliver the required changes to the directive. A compromise was agreed in the Council of Ministers, but the Government appear incapable of getting it through the European...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I understand the hon. Lady's point, but I think that she does us a disservice. My hon. Friend the Member for Hemel Hempstead (Mike Penning), not least, has made clear our determination to pursue prosecutions. To my recollection, there are something like 55,000 assaults a year on NHS staff, less than one in 1,000 of which leads to a prosecution. What is the point of putting up notices across...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: Nonsense!

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: That is not a quotation.

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: Does the Secretary of State agree or disagree with the College of Emergency Medicine when it argues that, for a proportion of patients, distance to an emergency department is a significant risk factor in overall outcomes? Its document published just a month ago says: "Where the next nearest Emergency Department is more than 20 kilometres away, there is a strong argument for retaining an...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: The Secretary of State lectures us about the working time directive, but ignores the point that really matters. There was an agreement in the Council of Ministers to change the definition of "resident on call" so that it related to time spent actually working at night rather than all the time when one is resident but asleep. That is a critical issue, so will the Secretary of State explain why...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: This is the same speech as in the Westminster Hall debate.

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: My hon. Friend raises an important point. He will know, as I do from spending Friday and Saturday evenings with accident and emergency department staff, how difficult that can be for them. Things should not be that way. Will he join me in commending the action taken by, for example, the Queen's medical centre in Nottingham? Instead of sitting in the accident and emergency department waiting...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: I am sorry to interrupt my hon. Friend, who is making an important point, but it might be of interest to him and to the House to know that the NHS information centre this morning published an analysis of the data from hospital episode statistics, which shows that 4.1 per cent. of people who attended A and E departments had a recorded time for arrival but no recorded time for departure. That...

Opposition Day — [1st Allotted Day]: Emergency Care (21 Jan 2009)

Andrew Lansley: My hon. Friend is being generous in giving way. It is important for us to understand exactly what is going on. The Healthcare Commission found that only 73 per cent. of people who attended A and E departments reported that they were seen and treated within four hours. It surmises that a significant number of people are being put into admission units or medical assessment units, and because...


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