The Minister for Social Care (Helen Whately)
It is a pleasure to open this debate on behalf of His Majesty’s Government, and to have the opportunity to speak about the long-term decisions that the Government have been taking for a healthier future for our country, for our national health service, and for our social care system.
We are building our health and care system for today and for tomorrow. We are increasing the capacity of the NHS and social care systems, boosting primary care and community care, investing in diagnostics and in treatments, building our NHS workforce with the long-term workforce plan and building our social care workforce with our 10-year vision, putting people at the heart of care. We are giving people choice and control over their health and care, and investing in the facilities and technology that need to be at the forefront of care and sustainable for the long term. We are driving reforms to prevent ill health, joining up health and care in integrated care systems and delivering a shift towards prevention and proactive care, keeping people out of hospital and enabling them to live independently in their communities.
Every day since last winter, we have been planning and preparing for the challenges that lie ahead this winter. The first ever NHS long-term workforce plan underpins our plans for the future of the NHS. It will double the number of medical training places, almost double the number of adult nursing places, and expand GP and allied health professional training numbers, giving the NHS the staff it needs for the future, creating new roles, building new training pathways and delivering a huge boost in diagnostic capacity.
By the end of this year, we will have opened 160 new community diagnostic centres. That is the biggest investment in MRI and CT scanning capacity in NHS history. Community diagnostic centres will bring care closer to home, on high streets, in supermarket car parks and at football stadiums. They have already done more than 5 million tests and scans, getting patients faster diagnosis for cancer, heart disease and other life-threatening conditions. That is not all we are doing to diagnose conditions faster. The number of people receiving blood pressure checks at local pharmacies has more than doubled, reducing thousands of people’s risk of suffering a heart attack or stroke.
We are expanding primary care, too. There are now over 30,000 more primary care professionals working in GP practices than in March 2019. We will deliver 50 million more GP appointments by the end of next year and we are investing more than £200 million in tech to end the 8 am rush for GP appointments. Pharmacy First will give people another choice, giving pharmacists the power to prescribe treatments for seven common conditions, freeing up as many as 10 million GP appointments, and as we put test results on to the NHS app, that will free up GP time again.
That is also one of the ways that this Government are giving patients more choice and control. Just as we are going to give people more choice in where they are treated when they are referred by their GP for specialist care, we have committed to giving patients a choice between by five providers so that they are treated based on what matters to them—be that shorter waiting times, seeing a particular doctor or getting care closer to home. We have given patients who are waiting more than 40 weeks the right to request treatment elsewhere, making better use of available capacity across the NHS and bringing in more capacity from the independent sector.
On patient choice, there is a clear dividing line between the Government and the Opposition. The Leader of the Opposition calls the Welsh Government the blueprint for what Labour would do in power, yet in Wales, under a Labour Government, there is no legal right to patient choice, and patients there wait on average five weeks longer for treatment than in England. We know where Labour’s plans would lead. We just need to look at its Welsh blueprint: less choice for patients, longer waiting lists and more bureaucracy for doctors and nurses who just want to get on with the job.
Before the most disruptive industrial action in NHS history stalled progress, we were reducing the longest waits. Last summer we hit our target to eliminate two-year waits for planned operations. This June we had virtually eliminated waits longer than 18 months. We are spending more than £8 billion between 2022 and 2025 to increase elective activity, including opening over 140 new surgical hubs to deliver 2 million more operations. We are investing almost £6 billion in beds, equipment and technology, and this year we started preparing the NHS for winter sooner than ever before.
Back in January, we published our recovery plan for urgent and emergency care, setting clear targets to improve A&E waiting and ambulance response times and using £1 billion of dedicated funding to provide 5,000 more permanent staff beds and 800 new ambulances. We are seeing results. In October, average category 2 ambulance response times were more than 90 minutes faster than in the same month last year. Delayed discharges have been coming down and we have brought forward flu and covid vaccinations, protecting the most vulnerable from illness this winter and reducing the likelihood that they will need hospital treatment.
A strong social care sector is also vital this winter and into the future. That is why we have made up to £8 billion available over this year and next to boost adult social care across the country. This is enabling local authorities to buy more care packages and help more patients to leave hospital on time, together with 10,000 “hospital at home” beds which mean that patients can receive their care where they are most comfortable, recovering in their own homes with support from secondary care when they need it. Through social prescribing, thousands of people up and down the country are benefiting from activities such as reading circles, choir groups, walking and football. We are driving reforms to the intermediate and proactive care framework, which sets out how local systems should support adults who need support after discharge, freeing up hospital capacity for those who need it most and giving people more care as they need it—in their community, away from A&E and out of hospital.
We are rolling out technology that will give patients life-saving treatments now and in the future. By the end of the year, every stroke network in England will have AI technology that can examine brain scans an hour faster, cutting stroke patients’ risk of suffering long-term consequences by as much as two thirds. What is more, almost half of NHS acute trusts have won a share of £21 million to invest in AI, accelerating the analysis of X-rays and CT scans for suspected lung cancer patients. That will save radiologists’ time, boost efficiency and cut waiting times. For the long-term, we are investing a further £100 million to use AI to unlock treatments for diseases that are incurable today, be they novel treatments for dementia or vaccines for cancer.
Ian Paisley (North Antrim) (DUP)
Can the Minister say something about the availability of new and specialist drugs that the National Institute for Health and Care Excellence is not recommending? Will an effort be made to make these specialist drugs, which in many instances are effectively regarded as miracle cures, available for cystic fibrosis and cancer treatments, for example?
Helen Whately
I understand what the hon. Gentleman is saying, and I know how strongly families and patients feel about this. It is not for me, as a Minister, to step on the independence of NICE, which has a remit to take those decisions. I am sure that the new Secretary of State for Health and Social Care, my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), and other Ministers in the Department will continue to listen to the concerns of families about access to those treatments.
If we want to fully embrace preventive care, we must tackle the single biggest preventable cause of ill health, disability and death, which is smoking. Unlike drinking alcohol or eating fatty, salty or sugary foods, there is no safe level of smoking. It causes almost one hospital admission every minute, one in four cancer deaths and 64,000 deaths a year.
Four in five smokers start by the time they are 20, so the best thing we can do is to stop young people smoking in the first place. That is why this Government will automatically raise the smoking age by one year every year, so anyone who is 14 or younger today will never be able to buy tobacco legally. Increasing the smoking age works. When it rose to 18, smoking rates dropped by almost a third in that age group. Restricting choice is never easy, but this time it is the right thing to do. Existing smokers will not be affected, but the next generation will be smoke-free, saving thousands of lives, reducing pressure on the NHS and building a brighter future for our children.
Mr Kevan Jones (North Durham) (Lab)
I hear what the Minister says about the Government’s commitment to this policy, but can she explain why the Government are allowing a free vote rather than whipping Back Benchers to vote for Government policy?
Helen Whately
I am not going to stand here and explain whipping policy, which is not my job as a Health Minister, but I am delighted to see the potential of this legislation. As with so many other worthwhile Government policies, such as increasing funding for the national health service, I would be delighted to see the right hon. Gentleman and other Opposition Members support this policy.
We are also cracking down on the alarming rise in vaping among children. There is no doubt that vaping is safer than smoking and is a terrific tool to help adult smokers quit, but, like Members across the House, I am concerned that one in five children has tried vaping, which can be hugely damaging to their health. The whole House knows that no child should be using nicotine.
The rise in youth vaping is no coincidence. Disposable vapes are consistently marketed at children and are available at pocket-money prices, with many retailers ignoring their duty not to sell them to young people. With more than 5 million being thrown away every week, disposable vapes are also damaging our planet. We are acting now to protect our children and our planet. We are looking at banning child-friendly flavours, restricting colourful packaging and mandating that vapes are displayed only behind the counter. We are also exploring a ban or a restriction on disposable vape sales and empowering local authorities to dish out on-the-spot fines for selling vapes to children. All these proposals are being developed with parents and teachers across the UK, and they will strike a balance between giving adult smokers a choice to switch to vaping and preventing our children from taking it up.
I recognise the disappointment that the mental health Bill was not included in the King’s Speech, but I can assure hon. Members that this Government are committed to achieving genuine parity between mental health and physical health, improving the care of those detained under the Mental Health Act 1983 and bringing forward the Bill when parliamentary time allows.
We are not going to wait for legislation to make change. We will continue to pilot models of culturally appropriate advocacy, providing tailored support to hundreds of people from ethnic minorities to better understand their rights if they are detained under the Mental Health Act. This comes on top of the record investment and staff numbers we are putting into mental health. Since 2010, the mental health workforce has grown by more than 20%, and by March we will have invested over £2 billion more in mental health than four years ago, meaning that 2 million more people, including more than 300,000 children and young people, will benefit from mental health support.
Fleur Anderson (Putney) (Lab)
One of the biggest issues raised by every school I visit in my constituency is mental health support, and I am disappointed not to see the mental health Bill in the King’s Speech. Will it be addressed in any other way? Where is it?
Helen Whately
As I said a moment ago—let me remind the hon. Lady of this—we are not waiting for legislation in order to bring forward mental health reforms. That is why, for instance, we have already been rolling out mental health support teams in schools. We are already ahead of schedule on that; we are giving a quarter of England’s school and college children access to mental health support teams a year ahead of schedule. In addition, thanks to this Government, dormitory accommodation for mental health patients will soon become a thing of the past.
It has been a pleasure to work with the new Secretary of State for Environment, Food and Rural Affairs, my right hon. Friend the Member for North East Cambridgeshire (Steve Barclay), and a huge honour to work with my hon. Friends the Members for Colchester (Will Quince) and for Harborough (Neil O'Brien) as part of a Government taking the long-term decisions to build a health and care system for the future, one with more doctors, nurses, pharmacists, physios and care workers, better mental healthcare for adults and children, more proactive care in the community, greater capacity, the newest technology and more choice, where conditions are diagnosed quicker or prevented altogether, thus helping people to live longer and healthier lives.
Wes Streeting
I thank my hon. Friend for her intervention. As I make progress through my speech I will come back to the breath-taking complacency about mental health we heard from the Minister a moment ago.
Given the scale of the crisis and given that the Prime Minister has made fixing waiting lists one his five priorities, hon. Members might have expected something in the King’s Speech to deal with it. Instead, we got nothing on the NHS as it heads into its most challenging winter yet and we got nothing on social care, just kicking the can down the road and delaying reforms until after the election. There was nothing on dentistry, despite even Conservative Back Benchers crying out for a rescue plan, and nothing on mental health, despite the Conservative party committing to reform, not just in its last manifesto but in its last two manifestos.
It was the longest King’s Speech in almost a decade, with the fewest Bills. Does that not just sum up the modern Conservative party? Plenty of slogans, but no solutions. What we got was a Bill that will not come into effect until after the general election and a sack-the-nurses Bill. On the tobacco and vapes Bill, the question is not whether Labour will support it, but whether the Conservative party will support it. Government Members will remember that I first proposed that smoking ban back in January. I say they will remember, because they made their feelings known in newspapers at the time. They called it “nanny state” and
“an attack on ordinary people and their culture”.
They accused me of “health fascism”. Well, they can now make their considered and nuanced views known to the new Secretary of State—I am sure she is looking forward to receiving them. It just demonstrates that where Labour leads, the Government follow.
The Prime Minister may be too weak to whip his Back Benchers to vote that crucial measure through, but on the Opposition Benches we will put country first and party second. Labour MPs will go through the voting Lobby and make sure that the legislation is passed, so that young people today are even less likely to smoke than they are to vote Conservative.
I am afraid to disappoint the Government, but we will not be supporting the other Bill in the King’s Speech that relates to health. Most people look at the crisis in the NHS and think it needs more doctors and nurses. The Conservative party looks at the health service and concludes that we need to sack more doctors and nurses. The Government are saying that public servants should be sacked for failing to provide minimum standards on strike days, but the Government have not met the four-hour A&E standard since 2015; they have not met the standard for treatment within 18 weeks since 2016; and they were doing so badly on meeting cancer waiting time standards that they have simply got rid of the standards altogether. If the Conservatives are proposing to sack doctors and nurses for failing to provide minimum service levels, can we now sack Ministers for failing to meet minimum standards on non-strike days?
The new Health and Social Care Secretary has an opportunity to break with the past year. Strikes are crippling the NHS and they are putting patients in harm’s way. Her predecessor may have thought that they were a useful excuse for his failure, but they were, and are, a misery for patients and staff alike. The Government must stop the scapegoating of NHS staff, go into these negotiations with good faith, work at finding a solution, and, finally, bring these strikes to an end. There will be no progress on turning around our national health service until the Government make some progress.
When summing up I hope the Minister will explain why action was not taken on the Mental Health Act 2007, because, I am afraid, the Minister’s opening remarks were entirely unsatisfactory. The Bill has gone through Committee. It has cross-party support. It is ready to go, so where is it? The treatment of people with learning disabilities and autism under the current Act shames our society. The disproportionate impact on black people, who are four times more likely to be sectioned than white people, is appalling. Prisons and police cells are no place for people with mental ill-health. Surely that is not controversial in 2023. It is, as the former Prime Minister, the right hon. Member for Maidenhead (Mrs May), said, “a burning injustice”. I cannot understand why the Government have broken their promise to address that matter finally.
It is long past time that mental health was treated with the same seriousness as physical health. Labour will not only reform the Mental Health Act in our first King’s Speech, but recruit thousands more mental health professionals, provide hubs in every community, and set up mental health support in every school, so that young people can get the help they need when they need it. [Interruption.] The Minister says that they have done that. What planet is she living on? This is the problem with these Ministers. Even when the faces change, the lines remain the same. The Minister has not changed, but she is still reading from the same failed script. This is the problem with the Conservative party. Its message to the country is simple: “You have never had it so good. Everything is going really well. The reason we are churning all the Ministers in our Cabinet is that they are doing such a good job. It is job done and time to give someone else a chance.” I am afraid that that is why these Conservatives are so out of touch and will struggle at the next general election if their message to the country is that it has never had it so good.
Furthermore, unlike this Government, who crashed the economy in the most reckless way, we will pay for our policies, making sure that they are fully costed and fully funded—in this case, by ending tax breaks for private schools and private equity fund managers. Politics is about choices: Labour chooses the wellbeing of the many, not the interests of the few, and we will fight the election on those lines any time. I say call the election tomorrow, because we are ready.
When it comes to dentistry, I should also say farewell to two former Ministers, the hon. Members for Colchester (Will Quince) and for Harborough (Neil O’Brien). As the hon. Member for Harborough departs Government, I hope that he does not take with him his pledge to bring forward a recovery plan for NHS dental services. It has been seven months since he announced that such a plan would be forthcoming, yet it is now nowhere to be seen. Indeed, last week, integrated care systems were given permission to raid their dentistry budget underspends and to remove the ringfence. That follows a pilot in Cornwall, trialling making NHS dentistry available only to children and the most vulnerable. It is the managed decline of NHS dentistry before our eyes. If people want to know what the future of the NHS would look like with five more years of the Conservative Government, they need only look at the ghost of Christmas past in NHS dentistry. The Conservatives blame the previous Labour Government, but they have been in power for 13 years. In 2010, we stood on a manifesto committed to reforming the NHS dental contract. They have had 13 years to do it, and they have failed again and again, leaving us in the situation that we are in today, with Dickensian stories of desperate people performing DIY dentistry and tooth decay being the most common cause of children aged six to 10 being admitted to hospital. It did not need to be this way.
I say to the new Secretary of State and her team that she may not have a plan, but Labour does, and she is more than welcome to nick it. We will deliver 700,000 more urgent appointments a year, recruit dentists to the areas most in need, introduce supervised toothbrushing in schools to prevent children’s teeth from rotting, and reform the NHS dental contract so that everyone who needs an NHS dentist can get one—
Wes Streeting
The Minister says, “Is that it?”. It is 700,000 more NHS dentistry appointments than her Government are providing. It is ridiculous. The extent to which Ministers continue to parrot these ridiculous lines is embarrassing. If they want to intervene, make my day. I am perfectly prepared to confront any Member with their own Government’s record. Of course, they do not want to defend the Government’s record; they have a hard enough time doing that on the doorstep.
Turning back to His Majesty’s Gracious Speech, there may not have been any Bills for the health service last week, but we did see the white flag being waved on the Prime Minister’s pledge to cut waiting lists. Hospitals received a letter telling them to cut the number of operations and appointments they are aiming to offer this year. At the same time, an extra funding pot was announced, so we are literally paying more and getting less. No wonder the NHS is in such a state. No wonder waiting lists have trebled since 2010. No wonder hundreds of thousands more patients are waiting for treatment today than when the Prime Minister first made his pledge.
Mr Robin Walker (Worcester) (Con)
Thank you, Madam Deputy Speaker. I will do my very best.
I agree with one thing that the hon. Member for Wansbeck (Ian Lavery) said. He talked about the contaminated blood scandal, and I want to see that compensation moved forward as swiftly as possible.
I congratulate my hon. Friend the Member for Uxbridge and South Ruislip (Steve Tuckwell) on his excellent maiden speech and welcome him to his place. He is clearly a great local champion and I look forward to him delivering for his constituents. I apologise to colleagues if my speech slightly errs from the main topic of this debate on the NHS to focus on education, but as Chair of the Education Committee, there are important things I have to say and unfortunately we were in session while the education debate was taking place.
Touching on health, I welcome the focus in the Gracious Speech on supporting the NHS, cutting waiting lists and implementing the much-needed NHS workforce plans. In particular I welcome the change to that plan to allow the three newly approved medical schools to begin training doctors from next year rather than from 2025. That will make a huge difference in Worcester, and I am grateful to the Health Committee for having me as a guest when we were examining officials on that and pushing the case for it. I also raised it with the Prime Minister in the Liaison Committee. Allowing those doctors to train in Worcester will help with retention and recruitment, and it will support our local NHS.
I welcome more investment in mental health services, but I would observe from my work on the Education Committee that in child and adolescent mental health services that cannot come soon enough. I support the aim of creating a smoke-free generation, which I believe strikes a sensible balance between public health and individual freedoms. This Government have delivered a great deal for my local NHS, and a massive £15 million expansion of the emergency department at the Worcester Royal Hospital is only the latest stage of that investment, but we continue to suffer from a capacity challenge in our Worcestershire hospitals that has been in place since the last Labour Government closed Kidderminster A&E without properly planning for space in either Worcester or Redditch. I sincerely hope that the new emergency department, with its dedicated paediatric emergency department, will make a real difference alongside the pipeline of new and much-needed junior doctors through the medical school. The recent decision of the acute trust to declare a critical incident at the very start of winter pressures in November reflects the ongoing pressures that we face.
Turning to education, unlocking opportunity should be the very essence of any Government’s education and skills policy, and it is certainly a key mantra for the Education Committee, which I am privileged to chair. I welcome the commitment to apprenticeships in the Gracious Speech—I know that the Secretary of State and the Minister for Skills share my Committee’s passion for vocational learning and for people earning while they learn—and I am excited by the prospect of more detail on the advanced British standard, but I am concerned by the absence of long-promised and frankly overdue legislation on attendance. When I was schools Minister, the Department for Education accepted a recommendation from the Select Committee to implement a register of children not in school. When I discussed that with the chief inspector, the Children’s Commissioner, school leaders, multi-academy trusts, unions and councils, they were clear about both the urgency and the importance of this measure. I helped officials to draft legislation and to prepare handling for the register as part of the wider Schools Bill, and it was committed to both in the White Paper and in the House.
Although there have since been many—some would say too many—changes to personnel in the Department, I have been reassured by the excellent Minister for Schools, my right hon. Friend the Member for Bognor Regis and Littlehampton (Nick Gibb), who was both my predecessor and my successor and whose ministerial career sadly ended today, and by the Secretary of State that they support the measure. The Secretary of State told the Select Committee that it was a top legislative priority for the Department, which was simply seeking the right vehicle to deliver it. This is why the Committee recommended in two reports that the legislation should be brought forward even in the absence of the wider Schools Bill.
We heard in this Chamber from the Opposition Front Bench and from Conservative members of the Education Committee the strong cross-party support for such a measure. We heard in the Lords debates on the now defunct Schools Bill a cacophony of opposition to other elements of the Bill but near unanimity on the importance of a register. The Centre for Social Justice called it “overdue” and “necessary”, and in my many discussions with school leaders and councils, most have been exasperated that this mechanism is not already in place. In July, the Secretary of State replied to my question on the matter:
“my Department remains committed to legislating for statutory local authority registers of children not in school and will do so at the next suitable legislative opportunity”.—[Official Report, 17 July 2023; Vol. 736, c. 603.]
My hon. Friend the Member for Meon Valley (Mrs Drummond) brought forward a private Member’s Bill in the previous Session, with cross-party support, that would have delivered the statutory register as a stand-alone measure. I can see no reason why the Bill could not have been adopted at once by the Government. Indeed, we highlighted this in our report on persistent absence and made recommendations to the Government, including the specific recommendation that the register should be brought forward, on a cross-party basis, as part of the King’s Speech. I am disappointed that opportunity has been missed.
Nevertheless, the legislation has been drafted. We have repeatedly heard about the strong support it enjoys on both sides of the House, and in the other place it has been championed by Cross Benchers and noble Lords on both sides of the House. I therefore repeat the Education Committee’s recommendation that the Government should adopt a private Member’s Bill on this matter at the first available opportunity. I will do what I can to ensure any such Bill makes rapid progress, and I am happy to work with Members across the House to make sure it has a prominent place in the business of this Parliament.
There are other measures in the late Schools Bill that I would also have liked to see resurrected. Among them are the delivery of statutory guidance on attendance, which the Children’s Commissioner spoke about in Parliament today, and fairer funding for our schools—the next step in delivering the fairer funding formula. I have campaigned throughout my time in Parliament for fairer funding in education, and this is vital for our mainstream schools—there are important changes to the funding mechanisms that I hope the Government will consider bringing forward—but it is even more vital for the specialist and high-needs sectors.
It was great to hear my new hon. Friend the Member for Uxbridge and South Ruislip talk about wanting to champion SEND children in his constituency, and that is something we all want to do. The high-needs formula is not working properly, and every local authority has a deficit in that space. I joined 40 MPs from both sides of the House in signing a letter calling for more investment.
I am pleased to welcome the aspiration for the advanced British standard to deliver greater parity between vocational and academic qualifications. I look forward to hearing more on this from the Department in due course. The past 13 years have seen England rise up international league tables for academic achievement, becoming the best in the west for literacy and improving our performance in maths. There are great challenges in the recruitment and retention of specialist teachers, and I hope the Government will listen closely to the recommendations in the Committee’s upcoming report on those challenges.
The aspiration for more children to study maths to 18, and for there to be a better mix of vocational and academic subjects, is good. If we are to achieve the full potential, however, it is vital that we do not just focus on A-level equivalent qualifications; we must also deliver for those who do not currently achieve a pass at GCSE. The schools White Paper set out a worthy aspiration to reduce the so-called “forgotten third” by raising standards in English and maths by the end of primary school. Whatever changes there are in personnel, I hope Ministers will stand by that worthwhile and ambitious aim.
We also need to look at GCSE resits. It is a fundamental problem in our system that in order to progress, whether to university or to an apprenticeship, people need a pass in maths and English GCSEs, and only around a quarter of those who take resits ever succeed in getting that vital qualification to move forward. We need to offer a wider range of qualifications to people who do not get a pass the first time round, so that we can see real progression and the removal of barriers.
Finally, I will touch on the international situation. Like MPs on both sides of the House, I want to see progress towards peace in the middle east, I have heard from hundreds of constituents with deep concerns about the humanitarian situation in Gaza, and I share the solidarity with innocent civilians in the Palestinian territories that the Prime Minister, among others, has expressed.
I very much understand the concerns that have been raised by members of both the Jewish and Muslim communities in Worcester about the importance of protecting civilians. We all want to see an end to the fighting and progress towards a two-state solution, but I am as appalled as anyone by the brutality of Hamas’s attacks on Israeli civilians. I recognise that any country facing such an assault has a right to self-defence, but I urge colleagues in government to be critical and clear-sighted friends of Israel and champions of a two-state solution, and to remember the full wording of the Balfour declaration:
“it being clearly understood that nothing shall be done which may prejudice the civil and religious rights of existing non-Jewish communities in Palestine”.
We should continue to oppose antisemitism wherever it occurs, and we should continue to do all we can to get humanitarian aid to the innocent civilians in the Palestinian territories who are victims of Hamas’s atrocities as much as their intended targets.
In particular, as a key supporter and author of the millennium development goals, we should do all that we can to protect children. As I said the other day to the Development Minister, my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell), if more humanitarian pauses or more humanitarian access and support can achieve this, I hope the UK will play a leading role in securing them.
The Secretary of State for Work and Pensions (Mel Stride)
May I begin by welcoming the new Secretary of State for Health and Social Care, my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), to her place? This has been a good and full debate. It has, in large part, been fairly well-informed, although I thought the quality of the offerings from behind me was a little ahead of that from in front. None the less, it has been a good and passionate debate.
No effort today was in any way better than that of my hon. Friend the Member for Uxbridge and South Ruislip (Steve Tuckwell), who gave us a virtuoso example of a maiden speech. He referred to the fact that it was in his constituency that Winston Churchill first uttered the immortal words,
“Never in the field of human conflict was so much owed by so many to so few.”
Of course, Churchill then repeated that in this Chamber, but not with the same eloquence as my hon. Friend, and he certainly did not manage to squeeze in a tribute to the Middlesex Arms, my hon. Friend’s local pub, where I am sure a free beer awaits him—that is probably where he is at this very moment. Now that I too, in addition to him, have mentioned his local pub, I hope that a second pint awaits him.
There are certain things that the shadow Secretary of State, the hon. Member for Leicester West (Liz Kendall), and I can agree on, and smoking is one of them. I was interested to learn that she is a former smoker. They always say that former smokers have a passionate desire to stop other people smoking, and she certainly demonstrated that. We know that one in four cancers is caused by smoking. As a father of three young daughters, vaping is of great concern to me personally, and I was pleased to see the reference in the King’s Speech to getting on top of those kinds of products and the way in which they are retailed.
The hon. Lady also mentioned mental health, as did many of this afternoon’s speakers. We have said that we will come forward with a mental health Bill if parliamentary time allows, and of course that does not mean we have not already done a very great deal in exactly that space, or will not do a great deal further. Some £2 billion of extra funding is already going into mental healthcare compared with four years ago, with a 20% increase in staffing since 2010. It does not stop there: we will also be bringing forward mental health hospitals and 100 specialist ambulances.
Mr Kevan Jones
We have now been waiting six years for a change to the Mental Health Act 1983. The Minister says that the Government are committed to mental health, but earlier this year we saw the 10-year mental health and wellbeing plan scrapped. I am sorry, but I have to say to the Minister that words are pretty hollow; when it comes to action, the Government are doing very little.
Mel Stride
I have just set out for the right hon. Gentleman two very significant actions that this Government have taken: £2 billion of additional funding compared with just four years ago, and a staff increase of some 20% since 2010.
I have to pick up on the non-doms point, because we hear it so often from the Opposition. Those poor old non-doms are going to be paying for the entire British economy over and over again. They pay UK taxes on their UK income, and it is just not realistic to expect to be gaining more tax in the longer term as a result of taxing them.
We have heard much about waits for NHS services. We have been working very hard on that issue, and it has to be recognised that we have had a pandemic, as well as a considerable amount of industrial action. Frankly, if the Opposition had done more with their trade union paymasters to encourage them to go back to work, we would have had smaller backlogs than we do at the moment. We have already largely eradicated the 18-month waits; the two-year waits have already been abolished; and we are rolling out all sorts of approaches to make sure we have more provision going forward, including 140 new surgical hubs. When Labour tells us about their plans, we need only to look at Wales, where we can see the results of Labour’s stewardship of the health service: on average, waiting times in Wales are five weeks longer than in England.
The hon. Member for Leicester West spent some time discussing employment, an area in which we have a first-class record. Economic inactivity, which she raised, is almost 300,000 lower than it was at its peak during the pandemic: it is below the average level of the OECD and the average level across the European Union. Unemployment is at a near-historic low, the number of those in payroll employment is at a near-historic high, and youth unemployment is down 44% on 2010. What happened under the Labour party? As Opposition Members know, it went up by almost exactly the same amount—another 44%. Labour is the party of unemployment; it has never left office with unemployment anything other than higher than when it came in. Under Labour’s stewardship, 1.4 million people were languishing on long-term benefits for over a decade, and that is a disgrace.
Liz Kendall
The Office for Budget Responsibility has said that
“A sustained rise in health-related inactivity poses a significant risk to fiscal sustainability by reducing the UK’s medium-term economic growth prospects and tax receipts”.
Does the Secretary of State disagree with the OBR?
Mel Stride
I do not, inasmuch as I recognise that long-term sick and disability has been on a rising trend for at least five years now. The hon. Lady knows that, but that is not the point that I was making; neither was it the point that she was making when she referred to the figures on economic inactivity.
That brings me to what this Government are doing. In the previous Budget, the Chancellor set forth plans for £2 billion to go towards resolving issues around long-term sickness and disability. We have consulted on occupational health across businesses to get upstream of this issue. The hon. Lady will know of our White Paper and the structural reforms that will make sure that, for the 2.5 million people on long-term sickness and disability benefits, we always focus on what those people can do, not on what they cannot do. The universal support we are rolling out is there to place people into work and give them a whole year’s worth of support, so we can make sure that those people stay in work. She will be aware of the pilots that we are now rolling out under the Work Well banner, which are there to bring people together with work. We believe that is one of the answers to mental health issues alongside medical support. Of course, we have just concluded our work capability assessment consultation, in which we are looking at how we can further help those people who can and want to work to go into employment, because we believe that that, ultimately, is in the best interests not just of the economy and of society, but very much of those people themselves.
This Government are not afraid to take long-term decisions in the national interest. The next generation of welfare reforms that I am bringing forward are part of this Government’s mission to deliver a better future for everyone across the country. It is a future that brings together employment support and healthcare to help disabled people and those with health conditions to realise their full potential. It is a future in which, thanks to the decisions we are now taking, the NHS can deliver better care in a changing world. It is a future that sees the first smoke-free generation become a reality, a future in which the most vulnerable in society continue to be the Government’s priority and are protected, and a future where work grows our economy, but perhaps more importantly still, changes lives, with thousands more people enjoying all the financial, social and health benefits that employment brings.
Ordered, That the debate be now adjourned.—(Mr Mohindra.)
Debate to be resumed tomorrow.