5 September 2012
Last updated at 12:06 GMT
But Mr Cameron said the coalition remained "strong and united".
And the prime minister said he had picked a ministerial team that showed the government "meant business".
The first clash between the two leaders since MPs returned to Westminster was dominated by Tuesday's reshuffle and the state of the economy.
Mr Miliband criticised the promotion of Jeremy Hunt to Health Secretary and, referring to Ken Clarke's new job as minister without portfolio and George Osborne remaining at the Treasury, he said the government would now have "two part-time chancellors".
'No change' "It is the same old faces, the same old policies. The no change reshuffle."
Attacking government policies to try and get the country out of recession, the Labour leader said initiatives to build new roads and houses and boost investment in infrastructure had failed to deliver.
But Mr Cameron said the reshuffle was based on getting every government department to focus on boosting growth, not just the Treasury and the Department for Business.
"This is a government that means business. We have got a team to deliver."
The prime minister said he hoped the government would make an announcement on consultation on the controversial issue of airport capacity in the south of England within the next few days.
And he contrasted the "strong and united" coalition with divisions within Labour ranks.
"The big difference in British politics is that I don't want to move my chancellor, he can't move his shadow chancellor," he said. "In spite of all the opportunity, this is a weak and divided opposition."
Ed Miliband says reshuffled cabinet 'same old faces'
Ed
Miliband has said the reshuffle has left in place the "same old faces
and the same old policies" as he clashed with David Cameron in the
Commons.
In the first Prime Minister's Questions since the summer
recess, Mr Miliband said the government's economic policy had
"spectacularly failed".But Mr Cameron said the coalition remained "strong and united".
And the prime minister said he had picked a ministerial team that showed the government "meant business".
The first clash between the two leaders since MPs returned to Westminster was dominated by Tuesday's reshuffle and the state of the economy.
Mr Miliband criticised the promotion of Jeremy Hunt to Health Secretary and, referring to Ken Clarke's new job as minister without portfolio and George Osborne remaining at the Treasury, he said the government would now have "two part-time chancellors".
'No change' "It is the same old faces, the same old policies. The no change reshuffle."
Attacking government policies to try and get the country out of recession, the Labour leader said initiatives to build new roads and houses and boost investment in infrastructure had failed to deliver.
Continue reading the main story
“Start Quote
David CameronThis is a government that means business. We have got a team to deliver”
"He has been prime minister for
two-and-a-half years. He has got to defend his record. He can't defend
his record," he said, adding that coalition economic policy, known as
Plan A, had "spectacularly faiiled".
In a reference to senior Cabinet ministers - including
Chancellor George Osborne - being booed recently at the Paralympic
Games. Mr Miliband claimed the "crowd had spoken for Britain".But Mr Cameron said the reshuffle was based on getting every government department to focus on boosting growth, not just the Treasury and the Department for Business.
"This is a government that means business. We have got a team to deliver."
The prime minister said he hoped the government would make an announcement on consultation on the controversial issue of airport capacity in the south of England within the next few days.
And he contrasted the "strong and united" coalition with divisions within Labour ranks.
"The big difference in British politics is that I don't want to move my chancellor, he can't move his shadow chancellor," he said. "In spite of all the opportunity, this is a weak and divided opposition."
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