PMQs review: Cameron comes out fighting

On the NHS, the PM has decided that attack is the best form of defence.

In the case of his NHS reforms, David Cameron has decided that attack is the best form of defence. On the rack over Andrew Lansley's chaotic reorganisation, he finally came out fighting at today's PMQs.

The session didn't begin well for the Prime Minister as Ed Miliband mocked a health summit which excluded "the vast majority of people who work in the NHS". Sounding ever more like Gordon Brown, Cameron boasted that "we are putting more money into the NHS" before conceding that "money alone won't do the job". As Miliband rightly noted, he had "no answer" to the question about his "ridiculous" summit. Armed with a quiver of embarrassing quotes from Cameron ("we have to take nurses and doctors with us"), Miliband pressed home his advantage.

But Cameron wasn't prepared to roll over. "When is he going to ask a question about the substance of the reforms," he asked. Labour used to favour choice, competition and GPs being in charge. Now they are opposed, Cameron said. The problem for the PM is that while Labour's reforms enjoyed public support, his do not. The issue, of course, is one of trust. Cameron still has no convincing answer to the question of why he broke his promise to put an end to the "top-down reorganisations of the NHS". So long as this remains the case, the charge that he has no mandate for the reforms will stick.

The PM, however, had a trump card up his sleeve. Having questioned why Miliband hadn't asked him about the risk register (which Labour has triggered a vote on tonight), Cameron revealed why. A copy of Labour's briefing note for today's debate showed that Andy Burnham had blocked the publication of a risk register in 2009. Labour were "a bunch of rank opportunists," declared Cameron.

But while Cameron's attack will resonate in the Westminster village, it is Miliband's that will resonate with the public. "This will become his Poll Tax," the Labour leader predicted in a line tailor made for tonight's news bulletins. "He should listen to the public and drop this bill."

Cameron has no intention of doing that but, for the first time in months, he no longer sounds so defensive.

George Eaton is political editor of the New Statesman.

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PMQs review: Jeremy Corbyn turns "the nasty party" back on Theresa May

The Labour leader exploited Conservative splits over disability benefits.

It didn't take long for Theresa May to herald the Conservatives' Copeland by-election victory at PMQs (and one couldn't blame her). But Jeremy Corbyn swiftly brought her down to earth. The Labour leader denounced the government for "sneaking out" its decision to overrule a court judgement calling for Personal Independence Payments (PIPs) to be extended to those with severe mental health problems.

Rather than merely expressing his own outrage, Corbyn drew on that of others. He smartly quoted Tory backbencher Heidi Allen, one of the tax credit rebels, who has called on May to "think agan" and "honour" the court's rulings. The Prime Minister protested that the government was merely returning PIPs to their "original intention" and was already spending more than ever on those with mental health conditions. But Corbyn had more ammunition, denouncing Conservative policy chair George Freeman for his suggestion that those "taking pills" for anxiety aren't "really disabled". After May branded Labour "the nasty party" in her conference speech, Corbyn suggested that the Tories were once again worthy of her epithet.

May emphasised that Freeman had apologised and, as so often, warned that the "extra support" promised by Labour would be impossible without the "strong economy" guaranteed by the Conservatives. "The one thing we know about Labour is that they would bankrupt Britain," she declared. Unlike on previous occasions, Corbyn had a ready riposte, reminding the Tories that they had increased the national debt by more than every previous Labour government.

But May saved her jibe of choice for the end, recalling shadow cabinet minister Cat Smith's assertion that the Copeland result was an "incredible achivement" for her party. "I think that word actually sums up the Right Honourable Gentleman's leadership. In-cred-ible," May concluded, with a rather surreal Thatcher-esque flourish.

Yet many economists and EU experts say the same of her Brexit plan. Having repeatedly hailed the UK's "strong economy" (which has so far proved resilient), May had better hope that single market withdrawal does not wreck it. But on Brexit, as on disability benefits, it is Conservative rebels, not Corbyn, who will determine her fate.

George Eaton is political editor of the New Statesman.