PMQs review: Miliband keeps his cool and wins another NHS battle

The Labour leader refused to rise to Cameron's child benefit jibes and left the PM struggling to explain away the A&E crisis.

Even before Ed Miliband got to his feet at today's PMQs, David Cameron went on the attack over his U-turn on child benefit. Reminding Miliband that he had criticised the changes in his first-ever outing at the despatch box, Cameron derided Labour's "total and utter confusion" and quipped (in response to a question from Douglas Carswell on a recall bill): "I hope the leader of the opposition will recall his attack on child benefit". He topped that later with this line: "I know I've been in Ibiza but they've been taking policy-altering substances".

But Miliband, his zen-like calm on full display, refused to rise to Cameron's bait and challenged him over the new figures showing that A&E waiting times have reached a nine year high. As before, Cameron blamed Labour's 2004 decision to remove responsibility from GPs for out-of-hours care but Miliband was on strong ground, noting that waiting times fell between 2004 and 2010, that GPs' leader Clare Gerada had described this explanation as "lazy", and that doctors blamed the upheaval caused by the government's NHS reorganisation. The voters, weary of Cameron's excuses, are likely to side with Labour, which now enjoys a 15 per cent poll lead on health (compared to a Tory lead of 3 per cent in 2010).

Cameron, who has chosen to maintain the NHS ring-fence in the Spending Review, attempted to carve out a dividing line when he claimed that Labour would "cut the NHS", but it's worth noting that Miliband last month stated that a Labour government would protect the NHS. He told Nick Robinson: "We're not going to be cutting the health service, I'm very clear about that. We will always be protecting the health service and will always make it a priority." Labour won't allow the Tories such an easy chance to claim that they are "the party of the NHS".

When the Labour frontbench alerted Cameron to as much, he replied: "That's changed as well! We've got a new health policy! Honestly, there are so many U-turns they should be having a grand prix." But while politicians and journalists obsess over U-turns, the voters are more concerned with whether the party in question has the right policy (and the majority supported the child benefit cuts). If Labour's move on child benefit helps convince a sceptical public that it would be fiscally responsible in government then it will be Miliband who gains.

A more awkward moment came when Cameron, in response to a piece in today's Daily Mail reporting that half of the shadow cabinet now support an EU referendum, asked those who did to raise their hands. When none did, he declared: "the people's party doesn't trust the people". It is precisely for fear of this line of attack that the likes of Ed Balls and Jon Cruddas have urged Miliband to commit to holding a referendum after 2015. As we get closer to the vote on the Tories' EU referendum bill on 5 July, expect Cameron to take every opportunity to make hay with this divide. 

Ed Miliband at Prime Minister's Questions.

George Eaton is political editor of the New Statesman.

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Air pollution: 5 steps to vanquishing an invisible killer

A new report looks at the economics of air pollution. 

110, 150, 520... These chilling statistics are the number of deaths attributable to particulate air pollution for the cities of Southampton, Nottingham and Birmingham in 2010 respectively. Or how about 40,000 - that is the total number of UK deaths per year that are attributable the combined effects of particulate matter (PM2.5) and Nitrogen Oxides (NOx).

This situation sucks, to say the very least. But while there are no dramatic images to stir up action, these deaths are preventable and we know their cause. Road traffic is the worst culprit. Traffic is responsible for 80 per cent of NOx on high pollution roads, with diesel engines contributing the bulk of the problem.

Now a new report by ResPublica has compiled a list of ways that city councils around the UK can help. The report argues that: “The onus is on cities to create plans that can meet the health and economic challenge within a short time-frame, and identify what they need from national government to do so.”

This is a diplomatic way of saying that current government action on the subject does not go far enough – and that cities must help prod them into gear. That includes poking holes in the government’s proposed plans for new “Clean Air Zones”.

Here are just five of the ways the report suggests letting the light in and the pollution out:

1. Clean up the draft Clean Air Zones framework

Last October, the government set out its draft plans for new Clean Air Zones in the UK’s five most polluted cities, Birmingham, Derby, Leeds, Nottingham and Southampton (excluding London - where other plans are afoot). These zones will charge “polluting” vehicles to enter and can be implemented with varying levels of intensity, with three options that include cars and one that does not.

But the report argues that there is still too much potential for polluters to play dirty with the rules. Car-charging zones must be mandatory for all cities that breach the current EU standards, the report argues (not just the suggested five). Otherwise national operators who own fleets of vehicles could simply relocate outdated buses or taxis to places where they don’t have to pay.  

Different vehicles should fall under the same rules, the report added. Otherwise, taking your car rather than the bus could suddenly seem like the cost-saving option.

2. Vouchers to vouch-safe the project’s success

The government is exploring a scrappage scheme for diesel cars, to help get the worst and oldest polluting vehicles off the road. But as the report points out, blanket scrappage could simply put a whole load of new fossil-fuel cars on the road.

Instead, ResPublica suggests using the revenue from the Clean Air Zone charges, plus hiked vehicle registration fees, to create “Pollution Reduction Vouchers”.

Low-income households with older cars, that would be liable to charging, could then use the vouchers to help secure alternative transport, buy a new and compliant car, or retrofit their existing vehicle with new technology.

3. Extend Vehicle Excise Duty

Vehicle Excise Duty is currently only tiered by how much CO2 pollution a car creates for the first year. After that it becomes a flat rate for all cars under £40,000. The report suggests changing this so that the most polluting vehicles for CO2, NOx and PM2.5 continue to pay higher rates throughout their life span.

For ClientEarth CEO James Thornton, changes to vehicle excise duty are key to moving people onto cleaner modes of transport: “We need a network of clean air zones to keep the most polluting diesel vehicles from the most polluted parts of our towns and cities and incentives such as a targeted scrappage scheme and changes to vehicle excise duty to move people onto cleaner modes of transport.”

4. Repurposed car parks

You would think city bosses would want less cars in the centre of town. But while less cars is good news for oxygen-breathers, it is bad news for city budgets reliant on parking charges. But using car parks to tap into new revenue from property development and joint ventures could help cities reverse this thinking.

5. Prioritise public awareness

Charge zones can be understandably unpopular. In 2008, a referendum in Manchester defeated the idea of congestion charging. So a big effort is needed to raise public awareness of the health crisis our roads have caused. Metro mayors should outline pollution plans in their manifestos, the report suggests. And cities can take advantage of their existing assets. For example in London there are plans to use electronics in the Underground to update travellers on the air pollution levels.

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Change is already in the air. Southampton has used money from the Local Sustainable Travel Fund to run a successful messaging campaign. And in 2011 Nottingham City Council became the first city to implement a Workplace Parking levy – a scheme which has raised £35.3m to help extend its tram system, upgrade the station and purchase electric buses.

But many more “air necessities” are needed before we can forget about pollution’s worry and its strife.  

 

India Bourke is an environment writer and editorial assistant at the New Statesman.