HC Deb 09 December 1997 vol 302 c792
16. Mr. Hanson

What action he is taking to reduce bureaucracy in the national health service. [18245]

Mr. Dobson

The Government are committed to maximising the proportion of health service resources devoted to patient care. We are doing that by removing the bureaucracy of the internal market and reducing management costs. On 22 May, we announced a programme of measures to start reducing bureaucracy by £100 million this year. By deciding not to proceed with the eighth wave of GP fundholding, we saved £20 million that had been earmarked for bureaucracy and nothing more; £10 million of that has already been invested instead in better breast cancer treatment for women in every part of the country and £5 million has been invested in improved children's intensive care. I cannot believe that anyone other than a shareholder in a paper company would not think that that money is being better spent.

Mr. Hanson

I thank my right hon. Friend for that excellent reply. Will he join me in welcoming the news in this morning's press that he intends to save an extra £1 billion in the next few years from red tape and to put it directly into patient care? Labour Members believe that every pound that he puts into patient care at the expense of bureaucracy is welcome.

Mr. Dobson

I accept everything that my hon. Friend said.

Mr. Bercow

Does the Secretary of State agree that the key to reducing NHS bureaucracy lies in the decentralisation of service, budgeting and management?

Mr. Dobson

Well, we had—[HON. MEMBERS: "Answer."] I shall answer. Those who have been following what has been happening with cancer screening might have noticed that the cervical and breast cancer screening schemes have both been failing because they are too decentralised. We cannot assume that everything should be decentralised, whatever the circumstances. However, we want to devolve as much power, authority and influence as possible to the doctors, nurses and other professionals who do the work in the health service.

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